Individual provider · Type 1 NPI

Songah Chae

Student in an Organized Health Care Education/Training Program · Moscow, ID

NPI number 1033633532 Active

Practice location

875 Perimeter Drive, Ms 3080
Moscow, ID 83844-3080

Call (208) 885-1673 Map

Fax (208) 885-5929

Mailing address

1443 Northwood Drive. #60
Moscow, ID 83843

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033633532

Songah Chae's National Provider Identifier is 1033633532, issued on Jul 27, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moscow, ID. The record was last updated on Jul 27, 2017.