Dr. Taiil Ted Song
Allergist & Immunologist Allergist Internist - Allergy & Immunology
11203 Bridgeport Way Sw
Lakewood
, Washington 98499-3002
Dr. Taiil Ted Song
Allergist & Immunologist Allergist Internist - Allergy & Immunology
11203 Bridgeport Way Sw
Lakewood
, Washington 98499-3002
(253) 589-1380
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About
Features
Specialties
- Allergist & Immunologist
- Allergist
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Dr. Taiil Ted Song
- 11203 Bridgeport Way Sw
- Lakewood, WA
- Zip : 98499-3002
- Phone : (253) 589-1380
Second Address
- Dr. Taiil Ted Song
- 11203 Bridgeport Way Sw
- Lakewood, WA
- Zip : 98499-3002
- Phone : (253) 589-1380
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | OP00002163 | WA |
| N | 207KA0200X | Allergist | OP00002163 | WA |
| N | 207RA0201X | Internist - Allergy & Immunology | E-2006 | AR |
National Provider Identifier
| NPI | 1669532842 |
|---|---|
| Provider Name | Dr. Taiil Ted Song |
| First Address | Lakewood, WA 98499-3002 |
| Second Address | Lakewood, WA 98499-3002 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/12/2006 |
| Last Update Date | 14/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.