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NPI Code Detail

MEDICARE: DR. LARRY PAUL BUGLINO III D.O.

MEDICARE: DR. LARRY PAUL BUGLINO III D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianDO173039OR
2208D00000XGeneral Practice PhysicianPG151472OR

General Provider Information

NPI Number : 1508187733
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LARRY PAUL BUGLINO III D.O.
Provider Business Mailing Address
First Line : PO BOX 1189
Second Line :
City : CORVALLIS
State : OR
Zip : 97339-1189
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 675 N 5TH ST
Second Line :
City : LEBANON
State : OR
Zip : 97355-2875
Country : US
Telephone Number : 541-451-6282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2010
Last Update Date : 03/11/2026

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