Individual
SYDNEE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8220
Mailing address
2730 S MOODY AVE FL 11, PORTLAND, OR 97201-5042
(503) 494-1284
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D12149
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
12/15/2025
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