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Mr. Timothy R Vaughan, LMP
Specialist in Mercer Island, Washington
NPI 1558426239

Timothy R Vaughan is a Specialist based in Mercer Island, WA. Timothy R Vaughan practices in Mercer Island, WA and has the professional credentials of LMP. The NPI Number for Timothy R Vaughan is 1558426239 and holds a License No. MA00011641 (Washington).

The current practice location address for Timothy R Vaughan is 7605 Se 27Th St, Mercer Island, WA and can be reached out via phone at 206-275-4870 and via fax at 206-275-4876.

Location: 7605 Se 27Th St, Mercer Island, WA, 98040-2835
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558426239
Provider Name
Timothy R Vaughan
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
7605 Se 27Th St, Mercer Island, WA, 98040-2835
Phone Number
206-275-4870
Fax Number
206-275-4876
Provider Enumeration Date
12/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7605 Se 27Th St
City
Mercer Island
State
Washington
Zip
98040-2835
Phone Number
206-275-4870
Fax Number
206-275-4876
person
Provider Business Mailing Address Details
Address
7605 Se 27Th St
City
Mercer Island
State
Washington
Zip
98040-2835
Phone Number
206-275-4870
Fax Number
206-275-4876
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00011641 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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