=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942145065
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SM VAUGHAN DC LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/23/2026
-----------------------------------------------------
Last Update Date | 04/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 WILLAGILLESPIE RD STE 300
-----------------------------------------------------
City | EUGENE
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97401-2178
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 541-726-2129
-----------------------------------------------------
Fax | 541-654-4322
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1000 WILLAGILLESPIE RD STE 300
-----------------------------------------------------
City | EUGENE
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97401-2178
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 541-726-2129
-----------------------------------------------------
Fax | 541-654-4322
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. SCOTT MICHAEL VAUGHAN
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 541-726-2129
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------