IndividualActive
Kevin Bolen, CST/CSFA
NPI 1376107250 · Surgical Assistant · Albany, OR
Provider details
- NPI number
- 1376107250
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- CST/CSFA
- Sex
- Male
- Sole proprietor
- No
- License
- 187722 (CO)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Practice location
1046 6th Ave Sw
Albany, OR 97321-1916
Phone: (541) 812-4000
Approximate (ZIP-level) locationGet directions
Mailing address
11240 Se Cranberry Loop
Clackamas, OR 97015-8525
Registry dates
- Enumerated
- 2019-04-26
- Last updated
- 2019-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.