Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenneth A Vaughn Jr., RC, CADCICRMQMHA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164582896

Kenneth A Vaughn Jr., RC, CADCICRMQMHA is an Addiction (Substance Use Disorder) Counselor in Salem, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2006.

Licensed in
OR, WA
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

3325 Harold Dr NE
Salem, OR 97305-1339
Phone: (503) 363-2021
Fax: (503) 363-4820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 08-06-73 (OR)
Counselor Taxonomy 101Y00000X · Licence RC00052879 (WA)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence QMHA (OR)

Record details

NPI number1164582896
Entity typeIndividual (Type 1)
GenderMale
Credentials RC , CADCICRMQMHA
Sole proprietorNo
NPI enumeratedDecember 11, 2006
Last updated in NPPESNovember 16, 2012

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