Individual
GUOBIN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY # MS /M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD00042449
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039587
LABOR AND INDUSTRIES #
WA
01
—
2879SO
BLUE SHIELD #
WA
05
—
8368243
—
WA
05
—
MD2879W
—
AK
Enumeration date
10/20/2006
Last updated
01/19/2010
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