Individual
JAEYUL SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1891 PIONEER PKWY E, SPRINGFIELD, OR 97477-3935
(541) 747-6627
(541) 726-6649
Mailing address
2719 31ST ST, SPRINGFIELD, OR 97477-7925
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0020394
OR
183500000X
Pharmacist
87767
CA
Other
Enumeration date
06/05/2023
Last updated
09/07/2025
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