CASEY VAUGHAN

PORTLAND, OR
NPI1093357998
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  201406622LPN)
Enumeration Date2019-10-11
Last Update Date2019-10-11
Business Address
CASEY VAUGHAN
6601 NE 78TH CT STE A3
PORTLAND, OR 97218-2823
Phone number: 503-252-3949
Mailing Address
CASEY VAUGHAN
6601 NE 78TH CT STE A3
PORTLAND, OR 97218-2823
Phone number: 503-252-3949
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