Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD IVAN VAUGHAN, BS
Active Sole ProprietorChildren's Substance Abuse Rehabilitation Facility · PORTLAND, OR
Registration Details
- NPI Number
- 1396186607
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2013 (12.81090419463 yrs)
- Last Updated
- Jul 15, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
4310 NE KILLINGSWORTH STPORTLAND, OR, 972083007Browse OR providers · Browse ZIP 97208
- Phone
- 5035351150
- Primary Specialty
-
Children's Substance Abuse Rehabilitation Facility
3245S0500X
Other Children's Substance Abuse Rehabilitation Facility Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MS. GAIL RENEE WILSON | — | 1821205246 |
| MISS KELSEY CORRINE COFFEY | — | 1548407646 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.