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Individual

JI EUN SONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1437 SW MONTGOMERY ST, PORTLAND, OR 97201-6005
(503) 571-9460
Mailing address
1437 SW MONTGOMERY ST, PORTLAND, OR 97201-6005

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
950806
NY

Other

Enumeration date
02/21/2026
Last updated
02/21/2026
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