Individual
SUSAN NICOLE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-R
Contact information
Practice address
3231 SE 50TH AVE, PORTLAND, OR 97206-2248
(503) 238-5203
Mailing address
PO BOX 86160, PORTLAND, OR 97286-0160
(503) 238-5203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-25-4816
OR
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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