Individual provider · Type 1 NPI

Mark William Vaughn, CRM

Addiction (Substance Use Disorder) Counselor · Bend, OR

NPI number 1972285682 Active

Practice location

23 NW Greenwood Ave
Bend, OR 97703-2078

Call (541) 383-4293 Map

Mailing address

1337 SW Boardwalk Ln
Bend, OR 97702-3788

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000X23-CRM-2206 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-23-3290 (OR)

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

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About NPI 1972285682

Mark William Vaughn, CRM's National Provider Identifier is 1972285682, issued on Aug 2, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bend, OR. The record was last updated on Nov 9, 2023.