Organization
KRISTINE BUGAKOV, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEE SCHLIMGEN (CLINIC MANAGER)
(503) 722-9833
Entity
Organization
Contact information
Practice address
14279 S GLEN OAKS RD, OREGON CITY, OR 97045-8008
(503) 697-0190
Mailing address
14279 S GLEN OAKS RD, OREGON CITY, OR 97045-8008
(503) 697-0190
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD167908
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500672262
—
OR
Enumeration date
03/23/2018
Last updated
04/19/2021
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