Individual
JASON M VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
17355 BOONES FERRY RD STE B, LAKE OSWEGO, OR 97035
(503) 635-0844
(503) 635-0812
Mailing address
1917 N LAKEWOOD DR, COEUR D ALENE, ID 83814-2634
(208) 277-0795
(208) 277-0775
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6244
OR
Other
Enumeration date
06/15/2010
Last updated
03/10/2021
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