Individual
CHARLES R SOULIERE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
(360) 923-7089
Mailing address
1708 YAKIMA AVE, SUITE 112, TACOMA, WA 98405-5307
(253) 627-6731
(253) 627-1064
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00029182
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0208377
STATE L&I
WA
01
—
0223169
STATE L&I
WA
05
—
1099951
—
WA
01
—
208378
STATE L&I
WA
01
—
8941430
STATE CRIME VICTIMS
WA
01
—
P00313076
MEDICARE RAILROAD
WA
Enumeration date
05/04/2006
Last updated
06/13/2023
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