Search › Oregon › 183500000X
Jaeyul Song
NPI 1437843489 · on the registry since 2023
Practice
- Address
- 1891 Pioneer Pkwy E
Springfield, OR 97477 - Phone
- (541) 747-6627
- Fax
- (541) 726-6649
- Organisation at this address
- Safeway Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- CA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon