KEVIN CHRISTOPHER BOLEN (NPI# 1376107250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376107250 |
| Entity Type | Individual |
| Full Name | KEVIN CHRISTOPHER BOLEN |
| Credential | CST/CSFA |
| Practice Address |
1046 6th Ave Sw Albany OR 97321-1916 |
| Mailing Address |
11240 Se Cranberry Loop Clackamas OR 97015-8525 |
| Practice Telephone | 5418124000 |
| Mailing Telephone | 9712370159 |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
187722 | CO | Technologists, Technicians & Other Technical Service Providers |
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
187722 | CO | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528012861 | Kevin L Bolen | Audiologist | 500 W Fort St, Boise, ID 83702-4501 | 2006-05-20 |
| Street Address |
1046 6TH AVE SW |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659341386 | Leo Cytrynbaum | Internal Medicine | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2006-01-25 |
| 1881217818 | Christine Nelson | Occupational Therapist | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2020-05-26 |
| 1982245452 | Cheryl Ann Hanslovan | Pharmacist | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-10-04 |
| 1073163408 | Rebecca Riley Moyes | Registered Nurse | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-09-17 |
| 1811547250 | Jason Da Johnson | Registered Nurse | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-09-17 |
| 1548810989 | Kenneth Nealy | Registered Nurse | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-09-17 |
| 1215596101 | Mitchell V Prunk | Physical Therapist | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-06-13 |
| 1902367527 | Ashley Biegler | Nurse Anesthetist, Certified Registered | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-03-27 |
| 1124583604 | Brooke Danielle Duncan | Dietitian, Registered | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-02-08 |
| 1639634454 | Katherine Lee Breen | Registered Nurse | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982224325 | Shon Patrick Hueth | Specialist/Technologist, Other | 6796 Ivy St, Springfield, OR 97478-7355 | 2020-04-24 |
| 1962022566 | Tl Surgical Assistants | Specialist/Technologist, Other | 13720 Sw 24th St, Beaverton, OR 97008-5055 | 2020-04-23 |
| 1427696244 | Colleen Marie Pennington | Specialist/Technologist, Other | 87936 Limpit Ln, Florence, OR 97439-9053 | 2019-12-11 |
| 1841733680 | Kristin Gai Fedorov | Specialist/Technologist, Other | 5015 Dillard Rd, Eugene, OR 97405-4404 | 2016-11-28 |
| 1801253729 | Julian Haas | Specialist/Technologist, Other | 1150 Darlene Ln Apt 151, Eugene, OR 97401-1109 | 2016-01-22 |
| 1457744690 | Sheila Marie Snyder | Specialist/Technologist, Other | 86462 Rose Hill Rd, Florence, OR 97439-9222 | 2015-03-12 |
| 1902191513 | Jennifer Tickner | Specialist/Technologist, Other | 10152 Silverton Rd Ne, Silverton, OR 97381-9306 | 2011-06-10 |
| 1205153715 | David Joseph Brown | Specialist/Technologist, Other | 14835 Monitor Mckee Rd Ne, Mount Angel, OR 97362-9643 | 2010-04-23 |
| 1962728790 | Martindale Csfa | Specialist/Technologist, Other | 6414 Honeywood Ct Ne, Keizer, OR 97303-1187 | 2010-04-19 |
| 1023262995 | Jacob Nathanael Martinez | Specialist/Technologist, Other | 3410 Merryvale Rd, Eugene, OR 97404-3870 | 2008-11-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.