NPI 1558426239

Timothy R Vaughan, LMP

Practitioner Specialist Mercer Island, WA

Practice location

Address: 7605 SE 27th St Suite 153, Mercer Island, WA 98040-2835
Phone: (206) 275-4870
Fax: (206) 275-4876

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA00011641 (WA)

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Registry record

NPI: 1558426239
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Dec 2006
Record last updated: 8 Jul 2007

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.