Richard Ivan Vaughan, BS

NPI #1396186607 in Portland, Oregon

Provider Information

NPI Number: 1396186607
Entity Type: Individual
Name: Richard Ivan Vaughan, BS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Credential: BS
Enumeration Date: Jul 15, 2013
Last Updated: Jul 15, 2013

Practice Location

Address: 4310 NE KILLINGSWORTH ST
City: Portland
State: Oregon
ZIP Code: 97208-3007
Phone: (503) 535-1150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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