Dr. Taiil Ted Song, DO
Dr. Taiil Ted Song, DO is an Allergy/Immunology in Lakewood, Washington. Qualified in 1997, 29 years ago. Practices with Allergy and Asthma Specialty Service Ps, a 6-clinician group and accepts Medicare assignment. Licensed in Arkansas and Washington.
- Years since qualifying
- 29
- Licensed in
- AR, WA
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
11203 Bridgeport Way SWLakewood, WA 98499-3002
Phone: (253) 589-1380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Allergy & Immunology Physician (primary) | Taxonomy 207K00000X · Licence OP00002163 (WA) |
|---|---|
| Allergy Physician | Taxonomy 207KA0200X · Licence OP00002163 (WA) |
| Allergy & Immunology (Internal Medicine) Physician | Taxonomy 207RA0201X · Licence E-2006 (AR) |
Record details
| NPI number | 1669532842 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | Yes |
| NPI enumerated | December 11, 2006 |
| Last updated in NPPES | September 14, 2021 |
| Certification date | September 14, 2021 |
| Mailing address | 11203 Bridgeport Way Sw, Lakewood, WA 98499-3002 |
Medicare enrollment
| Medicare specialty | ALLERGY/IMMUNOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Group practice | Allergy And Asthma Specialty Service Ps — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |