# SONG OBGYN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144393166
- **Authorized official:** DONALD SONG MD (PHYSICIAN)
- **Authorized official phone:** (253) 581-4696

## Contact information

- **Practice address:** 11311 BRIDGEPORT WAY SW, \#302, LAKEWOOD, WA 98499
- **Practice address phone:** (253) 581-4696
- **Practice address fax:** (253) 581-9001
- **Mailing address:** 11311 BRIDGEPORT WAY SW, \#302, LAKEWOOD, WA 98499
- **Mailing address phone:** (253) 581-4696
- **Mailing address fax:** (253) 581-9001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD00026796 | WA | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 03/13/2008