Kenneth A Vaughn in Salem - Addiction (substance Use Disorder)

Kenneth A Vaughn - NPI 1164582896

Kenneth A Vaughn is a Addiction (substance Use Disorder) in Salem, Oregon. Kenneth A Vaughn practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kenneth A Vaughn is 1164582896. The last update date is 2012-11-16.

Kenneth A Vaughn's current location address is 3325 Harold Dr Ne, Salem, Oregon. You can contact this provider via phone number 5033632021 and fax number 5033634820. The mailing address for Kenneth A Vaughn is 3325 Harold Dr Ne, Salem, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth A Vaughn
Address 3325 Harold Dr Ne, Salem, Oregon
Phone Number 5033632021
Fax Number 5033634820
Sole Proprietor N
Credentials RC CADC I

NPI Number Detail

NPI Number 1164582896
Provider Enumeration Date 2006-12-11
Last Updated Date 2012-11-16

Provider Mailing Address Detail

Address 3325 Harold Dr Ne
City Salem
State Oregon (OR)
Post Code 973051339
Phone Number 5033632021
Fax Number 5033634820

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 1973-08-06 0
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Kenneth A Vaughn

What is the unique identification code assigned to Kenneth A Vaughn by the Centers for Medicare & Medicaid Services?

The Kenneth A Vaughn has been issued the NPI (National Provider Identifier) 1164582896. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Kenneth A Vaughn's physical address?

The Kenneth A Vaughn is physically located at 3325 Harold Dr Ne, in the city of Salem, OR, with the postal code 973051339.

What is Kenneth A Vaughn's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kenneth A Vaughn is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.

When was the Kenneth A Vaughn's 1164582896 issued?

The Kenneth A Vaughn's 1164582896 was issued on 2006-12-11.

As of what date was the information regarding Kenneth A Vaughn, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kenneth A Vaughn, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-11-16.

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