IndividualActive
Jonathan Song, D.O.
NPI 1902260227 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Tacoma, WA
Provider details
- NPI number
- 1902260227
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 009208 (AZ)
Specialties & taxonomies
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081P2900XLicense OP70102133 (WA)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1628 S Mildred St Ste 102
Tacoma, WA 98465-1628
Phone: (206) 538-6300
Fax: (206) 538-6301
Approximate (ZIP-level) locationGet directions
Mailing address
645 E Missouri Ave Ste 300
Phoenix, AZ 85012-1351
Additional practice locations (2)
- 13943 N 91st Ave Bldg EPeoria, AZ 85381-3629Phone: (602) 262-8917Fax: (602) 262-8890
- 155 Lilly Rd Ne Ste aOlympia, WA 98506-5028Phone: (206) 538-6300Fax: (206) 538-6301
Registry dates
- Enumerated
- 2016-04-12
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.