| Doctor Name: | DR. LARRY PAUL BUGLINO |
| NPI Number: | 1508187733 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | PG151472 |
| Business Practice Address: | 3600 Nw Samaritan Dr Corvallis, OR - 973303737 |
| Business Phone Number: | 5417684906 |
| Business Fax Number: | 5417684907 |
| Mailing Address: | 3600 Nw Samaritan Dr, CORVALLIS |
| State: | OR |
| Postal Code: | 973303737 |
| Phone Number: | 5417684906 |
| Fax Number: | 5417684907 |
| NPI Enumeration Date: | 06/22/2010 |
| NPI Last Update Date: | 06/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | PG151472 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |