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1053665166
CHRISTOPHER A VAUGHN
PORTLAND, OR
NPI
1053665166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 12-09-52)
Enumeration Date
2012-10-29
Last Update Date
2012-10-29
Business Address
-- CHRISTOPHER A VAUGHN
2901 E BURNSIDE ST
PORTLAND, OR 97214-1831
Phone number: 503-238-5203
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Mailing Address
-- CHRISTOPHER A VAUGHN
2901 E BURNSIDE ST
PORTLAND, OR 97214-1831
Phone number:
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