KEVIN CHRISTOPHER BOLEN CST/CSFA
NPI 1376107250
Specialist/Technologist, Other - Surgical Assistant in Albany, OR

Q: What is Kevin Bolen's NPI number?

The NPI number for Kevin Bolen is 1376107250. It was assigned to this individual provider in the NPPES registry on April 26, 2019.

Q: What is Kevin Bolen's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Bolen was last updated on April 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 26, 2019

1046 6TH AVE SW, ALBANY, OR 97321(541) 812-4000 Get Directions Write a Review

NPPES record last updated: April 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kevin Christopher Bolen Cst/csfa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN CHRISTOPHER BOLEN CST/CSFA (NPI 1376107250) is an individual surgical assistant in Albany, Oregon, licensed in Colorado (187722) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1376107250

Entity TypeIndividualMale

Primary Taxonomy246ZC0007X

Provider Legal NameKEVIN CHRISTOPHER BOLENCredential: CST/CSFA

Location Address1046 6TH AVE SWAlbany, OR 97321-1916

Mailing Address11240 Se Cranberry LoopClackamas, OR 97015-8525 · (971) 237-0159

Phone(541) 812-4000

Sole ProprietorNo

Enumeration DateApril 26, 2019

✔ NPI 1376107250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

License✔ Licensed in CO · 187722

Definition

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.

Also ListedSpecialist/Technologist, Other · Surgical TechnologistTaxonomy 246ZS0410X · License 187722 (CO)

1046 6TH AVE SW, Albany, OR 97321

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