Provider Demographics
NPI:1639496078
Name:SONG, SHAWN (MD)
Entity Type:Individual
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First Name:SHAWN
Middle Name:
Last Name:SONG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1660 S COLUMBIAN WAY
Mailing Address - Street 2:BOX 356490
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-1532
Mailing Address - Country:US
Mailing Address - Phone:206-764-2350
Mailing Address - Fax:206-764-2799
Practice Address - Street 1:UNIVERSITY OF WASHINGTON DEPT OF REHAB
Practice Address - Street 2:BOX 356490
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-685-0936
Practice Address - Fax:206-616-3908
Is Sole Proprietor?:No
Enumeration Date:2010-04-26
Last Update Date:2016-02-19
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Provider Licenses
StateLicense IDTaxonomies
WAMD605481612081P0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0004XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury Medicine