Individual provider · Type 1 NPI

Agatha Song

Specialist · Roseburg, OR

NPI number 1992925507 Active

Practice location

913 NW Garden Valley Blvd
Roseburg, OR 97470-6523

Call (541) 440-1377 Map

Fax (541) 440-1394

Mailing address

1450 NW Mulholland Dr, # 156
Roseburg, OR 97470-1942

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X25MA04557700 (NJ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1992925507

Agatha Song's National Provider Identifier is 1992925507, issued on Apr 26, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Roseburg, OR. The record was last updated on Jul 8, 2007.