Search › Oregon › 1223E0200X
Ty Vaughan, D.D.S
NPI 1558526368 · on the registry since 2008
Practice
- Address
- 320 Ne 5th St
Gresham, OR 97030 - Phone
- (503) 665-0495
- Fax
- (503) 674-9196
- Organisation at this address
- Gresham Downtown Dental Group, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Also registered as
- 1223G0001X
- Licence states on file
- WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-08-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon