Individual
SHIWEI SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7621 N PORTSMOUTH AVE, PORTLAND, OR 97203-5953
(503) 240-7599
(503) 240-8066
Mailing address
10865 SW PATHFINDER WAY, TIGARD, OR 97223-3928
(503) 670-0228
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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