Individual
KRISTINE UYESUGI BUGAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14279 S GLEN OAKS RD, OREGON CITY, OR 97045-8008
(503) 657-7629
(503) 557-8651
Mailing address
14279 S GLEN OAKS RD, OREGON CITY, OR 97045-8008
(503) 657-7629
(503) 557-8651
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
172996
NC
208000000X
Pediatrics Physician
Primary
MD167908
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500672262
—
OR
Enumeration date
05/03/2011
Last updated
01/16/2021
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