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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174221451

Sydnee Vaughan, DMD is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2023
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-8220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8401 Ne Halsey St Ste 102, Portland, OR 97220-5670 — (503) 388-4690

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Dentist Taxonomy 122300000X · Licence D12149 (OR)

Record details

NPI number1174221451
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedFebruary 16, 2023
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025
Mailing address2730 S Moody Ave Fl 11, Portland, OR 97201-5042

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