Most Relevant Information
Provider Data
| NPI Number: | 1003353301 |
| Provider Name: | BRANDON VAUGHAN LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 20976 |
Most Important Dates
| Enumeration Date: | 01/24/2017 |
| Last Updated: | 01/24/2017 |
Provider Practice Location
35 W 8TH AVE
EUGENE
OR
974012901
Practice Location Phone/Fax
| Phone: | 5416864461 |
| Fax: | 5416864465 |
Provider Mailing Location
35 W 8TH AVE
EUGENE
OR
974012901
Provider Mailing Phone/Fax
| Phone: | 5416864461 |
| Fax: | 5416864465 |