LAUREN MICHELLE KISSOCK


Address: 7101 Ne 137th Ave, Vancouver, WA 98682-4933
Phone: 8008132000

LAUREN MICHELLE KISSOCK (NPI# 1558994459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558994459
Entity Type Individual
Full Name LAUREN MICHELLE KISSOCK
Credential PA-S
Practice Address 7101 Ne 137th Ave
Vancouver
WA 98682-4933
Mailing Address 2711 Ne 110th St
Vancouver
WA 98686-4222
Practice Telephone 8008132000
Mailing Telephone 5126188549
Enumeration Date 2020-02-19
Last Update Date 2020-02-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 7101 NE 137TH AVE
City VANCOUVER
State WA
Zip Code 98682-4933

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518941467 Elisa Maureen Hawley Physical Therapist 7101 Ne 137th Ave, Vancouver, WA 98682 2005-12-05
1619516028 Janelle Marie Tomagan Student in an Organized Health Care Education/Training Program 7101 Ne 137th Ave, Vancouver, WA 98682-4933 2020-01-02
1295373959 Micah Franklin Anderson Student in an Organized Health Care Education/Training Program 7101 Ne 137th Ave, Vancouver, WA 98682-4933 2019-12-12
1659916690 Daniel Carlson Student in an Organized Health Care Education/Training Program 7101 Ne 137th Ave, Vancouver, WA 98682-4933 2019-11-13
1407406994 Kristle Brown Student in an Organized Health Care Education/Training Program 7101 Ne 137th Ave, Vancouver, WA 98682-4933 2019-09-17
1124672415 Sarah E Barrick Student in an Organized Health Care Education/Training Program 7101 Ne 137th Ave, Vancouver, WA 98682-4933 2019-07-25
1982258190 Ashley Marie Adams Student in an Organized Health Care Education/Training Program 7101 Ne 137th Ave, Vancouver, WA 98682-4933 2019-07-25
1851953970 Amy Luu Student in an Organized Health Care Education/Training Program 7101 Ne 137th Ave, Vancouver, WA 98682-4933 2019-06-29
1760044879 Sydney Leigh Svob Student in an Organized Health Care Education/Training Program 7101 Ne 137th Ave, Vancouver, WA 98682-4933 2019-06-28
1659935633 Natalie Anna Kulaga Student in an Organized Health Care Education/Training Program 7101 Ne 137th Ave, Vancouver, WA 98682-4933 2019-04-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184230625 Helen Trinidad Uy Registered Nurse 15814 Ne 72nd St., Vancouver, WA 98682 2020-09-21
1891258711 Washington Dental Corporation, PC Dentist 14411 Ne Fourth Plain, Suite 134, Vancouver, WA 98682 2019-04-08
1588174833 Oliver Uy Nurse Practitioner 15814 Ne 72nd, Vancouver, WA 98682 2017-10-01
1285095000 Julia Melinda Zamora Naturopath 15640 Ne Fourth Plain Blvd Ste 120a, Vancouver, WA 98682 2016-03-08
1871999243 Jumana Sayyam Counselor 13114 Ne 41st St, Vancouver, WA 98682 2014-11-13
1679998538 Chris Briggs Massage Therapist 6700 N.e. 162 Ave, Suite 415, Vancouver, WA 98682 2014-02-28
1790113371 Kaiser Foundation Health Plan of The Northwest Pharmacy 1230 7th Ave., Longview, WA 98682 2013-10-17
1821336736 Carol Lynn Fischer Occupational Therapist 13501 Ne 28th Street, Vancouver, WA 98682 2013-01-28
1336412485 Erica Paige Schmidt Massage Therapist 13025 Ne 4th Plain Blvd, Suite 102, Vancouver, WA 98682 2012-02-21
1669767828 Scott Germann Contractor 15410 Ne 85th Street, Vancouver, WA 98682 2011-06-16
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538784558 Thomas Owen Hall Student in an Organized Health Care Education/Training Program 11004 Ne 97th Ave, Vancouver, WA 98662-1578 2020-06-15
1417577883 Selina Kwok-yung Wong Student in an Organized Health Care Education/Training Program 501-2851 Heather Street, Vancouver, BC V5Z 0A2 2020-04-25
1720607179 Yehuda Mivasair Student in an Organized Health Care Education/Training Program 2644 Manitoba Street, Vancouver, BRITISH COLUMBIA V5Y3A8 2020-04-15
1356992358 Jennifer Denise Pors Student in an Organized Health Care Education/Training Program 3203 910 W 10th Avenue Jennefer Pors, Department of Pathology and Laboratory Medicine Vancouv, Vancouver, BC V5Z 4E3 2019-09-23
1336799022 Alaina George Student in an Organized Health Care Education/Training Program 3209 Grant St, Vancouver, WA 98660-2056 2019-09-16
1508323890 Faustine Pamela Wallum Student in an Organized Health Care Education/Training Program 7405 Ne 56th Ave, Vancouver, WA 98661-1047 2019-02-22
1962974840 Rachel Guffey Student in an Organized Health Care Education/Training Program 2615 Ne 114th St, Vancouver, WA 98686-4237 2018-12-17
1831660471 Terri Sun Student in an Organized Health Care Education/Training Program 1202-668 Citadel Parade, Vancouver, BRITISH COLUMBIA V6B1W6 2018-12-07
1235616400 Karandeep Prehar Student in an Organized Health Care Education/Training Program 8608 Ne 31st Cir, Vancouver, WA 98662-6830 2018-07-20
1407344872 Kyle Besaw Student in an Organized Health Care Education/Training Program 300 E 33rd St Ste 100, Vancouver, WA 98663 2018-05-01
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Competitor

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City VANCOUVER
Zip Code 98682

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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