Dijon Josiah Vaughn, is a
Peer Specialist based in Portland, Oregon. Dijon Josiah Vaughn is licensed to practice in * (Not Available) (license number ) and his current practice location is
5331 S Macadam Ave Ste 287, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 635-3416.
NPI number for Dijon Josiah Vaughn is 1972343234 and his current mailing address is 5331 S Macadam Ave Ste 287, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972343234.
Healthcare Provider's Profile
| Full Name | Dijon Josiah Vaughn |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 5331 S Macadam Ave Ste 287, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972343234
- Provider Enumeration Date: 05/25/2024
- Last Update Date: 07/31/2025
Medical Identifiers
Medical identifiers for Dijon Josiah Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972343234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dijon Josiah Vaughn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dijon Josiah Vaughn, 5331 S Macadam Ave Ste 287, Portland, OR 97239-3849 Ph: () - | Dijon Josiah Vaughn, 5331 S Macadam Ave Ste 287, Portland, OR 97239-3849 Ph: (503) 635-3416 |
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