Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason M Vaughn, PT

Individual provider Orthopedic Physical Therapist · NPI 1376864256

Jason M Vaughn, PT is a Physical Therapist in Private Practice in Lake Oswego, Oregon. Qualified in 2010, 16 years ago. Practices with Shellman Inc PA, a 45-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
16
Licensed in
OR
In the registry since
2010
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

17355 Boones Ferry Rd Ste B
Lake Oswego, OR 97035
Phone: (503) 635-0844
Fax: (503) 635-0812
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 551 Lone Pine Blvd, The Dalles, OR 97058-9403 — (541) 296-7202

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 6244 (OR)

Record details

NPI number1376864256
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 15, 2010
Last updated in NPPESMarch 10, 2021
Certification dateMarch 10, 2021
Mailing address1917 N Lakewood Dr, Coeur D Alene, ID 83814-2634

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Shellman Inc Pa — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Oswego