Provider Demographics
NPI:1093894800
Name:VAUGHN, TRISHA M (ND, PMHNP-BC, CNM/NP)
Entity Type:Individual
Prefix:DR
First Name:TRISHA
Middle Name:M
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:ND, PMHNP-BC, CNM/NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 CLEAR CREEK DR UNIT 108
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1882
Mailing Address - Country:US
Mailing Address - Phone:303-619-6450
Mailing Address - Fax:
Practice Address - Street 1:149 CLEAR CREEK DR UNIT 108
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1882
Practice Address - Country:US
Practice Address - Phone:303-619-6450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORNP-PP201393629367A00000X
OR201393629363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty