Sydnee Vaughan, DMD is a
Student In An Organized Health Care Education/training Program based in Portland, Oregon. Sydnee Vaughan is licensed to practice in NU (license number ) and her current practice location is
3181 Sw Sam Jackson Park Rd, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 494-8220.
NPI number for Sydnee Vaughan is 1174221451 and her current mailing address is 2730 S Moody Ave Fl 11, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174221451.
Healthcare Provider's Profile
| Full Name | Sydnee Vaughan |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174221451
- Provider Enumeration Date: 02/16/2023
- Last Update Date: 12/15/2025
Medical Identifiers
Medical identifiers for Sydnee Vaughan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174221451 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | D12149 (Oregon) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | 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. Sydnee Vaughan 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 |
|---|
Sydnee Vaughan, DMD
2730 S Moody Ave Fl 11,
Portland, OR 97201-5042
Ph: (503) 494-1284 | Sydnee Vaughan, DMD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011
Ph: (503) 494-8220 |
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