Individual
SEBASTIAN VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
2336 SW OSAGE ST UNIT 503, PORTLAND, OR 97205-1031
(832) 948-4110
Mailing address
2336 SW OSAGE ST UNIT 503, PORTLAND, OR 97205-1031
(832) 948-4110
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
213021
OR
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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