Individual
NICHOLAS SOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 5TH ST, BROOKINGS, OR 97415-9199
(877) 408-8941
(541) 813-2536
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 672-2691
(833) 299-8415
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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