Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Agatha Song

Individual provider Specialist · NPI 1992925507

Dr. Agatha Song is a Specialist in Roseburg, Oregon. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2007

Practice location Address checks out

913 NW Garden Valley Blvd
Roseburg, OR 97470-6523
Phone: (541) 440-1377
Fax: (541) 440-1394
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MA04557700 (NJ)

Record details

NPI number1992925507
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 26, 2007
Last updated in NPPESJuly 8, 2007

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