# HERMISTON NECK BACK AND ACCIDENT SPEACIALIST

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558921494
- **Authorized official:** TRAVIS VAUGHN DC (OWNER)
- **Authorized official phone:** (360) 628-0139

## Contact information

- **Practice address:** 1055 S HWY 395, HERMISTON, OR 97838
- **Practice address phone:** (541) 289-4878
- **Mailing address:** 1055 S HWY 395, HERMISTON, OR 97838
- **Mailing address phone:** (360) 628-0139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2019
- **Last updated:** 06/13/2019