Individual provider · Type 1 NPI

Susan Nicole Vaughn, CADC-R

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1083504203 Active

Practice location

3231 SE 50th Ave
Portland, OR 97206-2248

Call (503) 238-5203 Map

Mailing address

PO Box 86160
Portland, OR 97286-0160

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-25-4816 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1083504203

Susan Nicole Vaughn, CADC-R's National Provider Identifier is 1083504203, issued on Jul 8, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2025.