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

Jonathan K Song, DO

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1902260227

Jonathan K Song, DO is a Pain Management in Tacoma, Washington. Qualified in 2016, 10 years ago. Practices with Pain Care Physicians PLLC, a 13-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Washington.

Years since qualifying
10
Licensed in
AZ, WA
In the registry since
2016
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.

See every abbreviation used in this directory →

Practice location Address checks out

1628 S Mildred St Ste 102
Tacoma, WA 98465-1628
Phone: (206) 538-6300
Fax: (206) 538-6301
Show map & directions

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

Additional practice locations (2)

  • 13943 N 91st Ave Bldg E, Peoria, AZ 85381-3629 — (602) 262-8917
  • 155 Lilly Rd Ne Ste A, Olympia, WA 98506-5028 — (206) 538-6300

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence OP70102133 (WA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 009208 (AZ)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 009208 (AZ)

Record details

NPI number1902260227
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 12, 2016
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Also practisesPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Pain Care Physicians Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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