ETHEL MAE VAUGHN

GRESHAM, OR
NPI1760353478
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-25-5778)
Enumeration Date2025-09-16
Last Update Date2025-10-01
Business Address
ETHEL MAE VAUGHN CADC-R
620 NE 2ND ST
GRESHAM, OR 97030-7514
Phone number: 971-274-3757
Mailing Address
ETHEL MAE VAUGHN CADC-R
211 SE CARUTHERS ST
PORTLAND, OR 97214-4502
Phone number: 971-217-9008
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