Tyler Song
Tyler Song is a Student in an Organized Health Care Education/Training Program in Portland, Maine. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
716 Stevens AvePortland, ME 04103-2656
Phone: (207) 221-4529
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1851258800 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 9, 2026 |
| Last updated in NPPES | January 9, 2026 |
| Certification date | January 9, 2026 |
| Mailing address | 716 Stevens Ave, Portland, ME 04103-2656 |
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