Individual
REGINA SOUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
931 S MARKET BLVD, CHEHALIS, WA 98532-3423
(360) 767-6300
Mailing address
1701 N 13TH ST, SHELTON, WA 98584-2077
(360) 427-9549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP70024211
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2023
Last updated
04/14/2026
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