Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Prescriptions Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
320 NE 5TH ST
GRESHAM, OR 97030-7308 US

Ty Bradley Vaughan

Endodontist


Ty Bradley Vaughan

Overview

Ty Bradley Vaughan is a Endodontist in the GRESHAM area. Ty Bradley Vaughan primary office location is at 320 NE 5TH ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1558526368 and the information was updated approximately 9 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: NO

Contact Information

Primary Practice Location Information
320 NE 5TH ST
GRESHAM, OR 97030-7308 US
Phone: (503)-665-0495
Fax:
Practice Mailing Information
320 NE 5TH ST
GRESHAM, OR 97030-7308 US
Phone: (503)-665-0495
Fax: (503)-674-9196
License NumberState
D9588OR
DE 60152137WA