Individual provider · Type 1 NPI

Jin Song

Psychiatric/Mental Health Registered Nurse · Portland, OR

NPI number 1679903801 Active

Practice location

14600 NW Cornell Rd
Portland, OR 97229-5442

Fax (503) 629-8517

Mailing address

14600 NW Cornell Rd, Portland, Or 97229
Portland, OR 97229

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X201391285RN (OR)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1679903801

Jin Song's National Provider Identifier is 1679903801, issued on Nov 25, 2013. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Portland, OR. The record was last updated on Jul 21, 2022.