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

Dr. Ein Gun Song, MD

Individual provider Dermatology Physician · NPI 1548536972

Dr. Ein Gun Song, MD is a Dermatology in Mill Creek, Washington. Qualified in 2012, 14 years ago. Practices with Silver Falls Dermatology LLC, a 98-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
14
Licensed in
CA, WA
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

15906 Mill Creek Blvd Ste 105
Mill Creek, WA 98012-1797
Phone: (425) 385-2009
Show map & directions

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

Additional practice locations (1)

  • 5901 E 7th St, Long Beach, CA 90822-5201 — (562) 826-8000

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence MD60604630 (WA)
Dermatology Physician Taxonomy 207N00000X · Licence A127623 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence 60604630 (WA)

Record details

NPI number1548536972
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2012
Last updated in NPPESJanuary 29, 2021
Certification dateJanuary 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Silver Falls Dermatology Llc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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