Kristine Bugakov, M.D., L.L.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD167908 Issued in OR

Legal business name

KRISTINE BUGAKOV, M.D., L.L.C.

Practice address

14279 S Glen Oaks Rd
Oregon City, OR 97045-8008

Phone

(503) 697-0190

NPI assigned

Mar 23, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberlee Schlimgen

Title

Clinic Manager

Phone

(503) 722-9833

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1689179525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14279 S GLEN OAKS RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970458008",
            "telephone_number": "503-697-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14279 S GLEN OAKS RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970458008",
            "telephone_number": "503-697-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINE BUGAKOV, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "SCHLIMGEN",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "503-722-9833"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD167908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500672262",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marscia Michelle Kozlik, RDH
• Michael Kozlowski, PH.D.
• Paula Kraft, CCC-SLP
• Zachary Krebs, L.AC
• Beth Kreinheder, RDH, EPP
• Brian Lennon Krueger, CADC-I, CRM-I
• Jeff Krueger
• Julie Marie Krueger, PT
• Rebecca Kruse, MED, ATC, CSCS, CES
• Tyler Krzyzaniak, MSW

• Pediatrics Physician in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.