Search › Oregon › 101YA0400X
Kenneth Vaughn, RC CADC I CRM QMHA
NPI 1164582896 · on the registry since 2006
Practice
- Address
- 3325 Harold Dr Ne
Salem, OR 97305 - Phone
- (503) 363-2021
- Fax
- (503) 363-4820
- Organisation at this address
- Bridgeway Recovery Services
Cascadia Behavioral Healthcare IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 55
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101Y00000X
171M00000X - Licence states on file
- OR, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-11-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon