Search › Washington › 207K00000X
Taiil Song, D.O
NPI 1669532842 · on the registry since 2006 · sole proprietor
Practice
- Address
- 11203 Bridgeport Way Sw
Lakewood, WA 98499 - Phone
- (253) 589-1380
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207K00000X
207K00000X
- Also registered as
- 207KA0200X
207RA0201X - Licence states on file
- WA, AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington