Individual
EUGENE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1160 LIBERTY ST SE, SALEM, OR 97302-4143
(503) 854-0157
Mailing address
1765 CORINA DR SE, SALEM, OR 97302-1621
(720) 297-1123
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
06/06/2021
Last updated
06/06/2021
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