Individual
MR. MATTHEW VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6741 NE 182ND ST, UNIT C313, KENMORE, WA 98028
(209) 609-0476
Mailing address
6741 NE 182ND ST UNIT C313, KENMORE, WA 98028-5011
(209) 609-0476
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160508656
WA
Other
Enumeration date
08/07/2017
Last updated
07/21/2022
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