Individual
CYNTHIA SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3303 S BOND AVE BLDG 17TH, PORTLAND, OR 97239-4501
(734) 474-4144
Mailing address
3303 S BOND AVE BLDG 17TH, PORTLAND, OR 97239-4501
(734) 474-4144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
3071
OR
Other
Enumeration date
01/21/2015
Last updated
11/07/2022
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