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1871893750
MARK VAUGHT
PORTLAND, OR
NPI
1871893750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L4625)
Enumeration Date
2010-10-26
Last Update Date
2012-04-20
Business Address
-- MARK VAUGHT LCSW
33 NW BROADWAY
PORTLAND, OR 97209-3580
Phone number: 503-228-7134
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Mailing Address
-- MARK VAUGHT LCSW
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681
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