Individual
CHARLES E VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 543-6420
(206) 520-5620
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60366332
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871937771
—
WA
Enumeration date
04/22/2013
Last updated
09/18/2013
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