Kyleigh Siu Jun Mieko Holei Corpuz

NPI #1629965991 in Forest Grove, Oregon

Provider Information

NPI Number: 1629965991
Entity Type: Individual
Name: Kyleigh Siu Jun Mieko Holei Corpuz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 19, 2025
Last Updated: Jun 19, 2025

Practice Location

Address: 1837 PACIFIC AVE APT 304
City: Forest Grove
State: Oregon
ZIP Code: 97116-3135
Phone: (808) 315-3678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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