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Individual

DR. CHIN KYONG SONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6355 NE CORNELL ROAD, SUITE 100, HILLSBORO, OR 97124
(503) 597-3130
(503) 597-3140
Mailing address
6355 NE CORNELL ROAD, SUITE 100, HILLSBORO, OR 97124
(503) 597-3130
(503) 597-3130

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD24412
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
227028
OR
Enumeration date
11/17/2006
Last updated
08/04/2011
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