NPI 1396186607
Richard Ivan Vaughan, BS
Practice location
- Address
- 4310 NE Killingsworth St, Portland, OR 97208-3007
- Phone
- (503) 535-1150
- Mailing address
- PO Box 3007 4310 NE Killingsworth St, Portland, OR 97208-3007
Registered specialties
Children's Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1396186607
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Jul 2013
- Record last updated
- 15 Jul 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.