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1588394613
KALVIN VAUGHN
PORTLAND, OR
NPI
1588394613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-22-1691)
Enumeration Date
2022-06-13
Last Update Date
2022-06-13
Business Address
KALVIN VAUGHN CADC-R
6601 NE 78TH CT STE A3
PORTLAND, OR 97218-2823
Phone number: 971-361-0798
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Mailing Address
KALVIN VAUGHN CADC-R
6601 NE 78TH CT STE A3
PORTLAND, OR 97218-2823
Phone number: 971-361-0798
Copy
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