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

Richard Ivan Vaughan, BS

Individual provider Children's Substance Abuse Rehabilitation Facility · NPI 1396186607

Richard Ivan Vaughan, BS is a Children's Substance Abuse Rehabilitation Facility in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

4310 NE Killingsworth St
Portland, OR 97208-3007
Phone: (503) 535-1150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Children's Substance Abuse Rehabilitation Facility (primary) Taxonomy 3245S0500X

Record details

NPI number1396186607
Entity typeIndividual (Type 1)
GenderMale
Credentials BS
Sole proprietorYes
NPI enumeratedJuly 15, 2013
Last updated in NPPESJuly 15, 2013
Mailing addressPo Box 3007, 4310 Ne Killingsworth St, Portland, OR 97208-3007

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