Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AGATHA SONG
Active Sole ProprietorDR. AGATHA SONG is a Specialist healthcare provider located in ROSEBURG, Oregon. NPI 1992925507 is currently active in the NPPES registry. Verify at CMS.
Specialist · ROSEBURG, OR
Registration Details
- NPI Number
- 1992925507
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 26, 2007 (19.340058005408 yrs)
- Last Updated
- Jul 8, 2007
- License
-
25MA04557700 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
913 NW GARDEN VALLEY BLVDROSEBURG, OR, 974706523Browse OR providers · Browse ZIP 97470
- Phone
- 5414401377
- Fax
- 5414401394
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in ROSEBURG, OR
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN D SPROED I | M.D. | 1841298429 |
| MR. C. STEPHEN PATTERSON | M.D. | 1649238569 |
| DR. DARRELL LEE FORT | M.D. | 1710998794 |
| DR. BRIAN EUGENE HAYES | M.D. | 1508987314 |
| MR. JOE MAXEY | BS | 1033364211 |
| ISIS KARENSHA LOPEZ | — | 1922424985 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.