Individual
HEEJOO SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25925 SW HEATHER PL, WILSONVILLE, OR 97070-5785
(503) 682-7793
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6195
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0020071
OR
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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