Individual
CRYSTAL M BUGLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
525 N SANTIAM HWY, LEBANON, OR 97355-4363
(541) 258-2101
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA156434
OR
390200000X
Student in an Organized Health Care Education/Training Program
NOT APPLICABLE
—
Other
Enumeration date
11/05/2009
Last updated
03/17/2023
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