Bugakov, Kristine Uyesugi

Bugakov, Kristine Uyesugi is an individual health care provider with primary practice located at 14279 S Glen Oaks Rd , Oregon City OR 97045-8008. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bugakov, Kristine Uyesugi can be contacted via phone (503) 657-7629.

Contact Information

Primary practice address
14279 S Glen Oaks Rd Oregon City OR 97045-8008
Phone: (503) 657-7629
Fax: (503) 557-8651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 172996 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD167908 Oregon

Profile Details

NPI number 1366734808
LBN Legal business name Bugakov, Kristine Uyesugi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2011
Last updated Jan 16th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366734808 NPPES
Oregon MEDICAID 500672262

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