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CLEAR CHOICE DERMATOLOGY NPI 1316797640


NPI Information

NPI: 1316797640
Provider Name: CLEAR CHOICE DERMATOLOGY
Classification: Pathology - 207ZD0900X
Entity Type: Organization

Specialization: Dermatopathology

CLIA Number: 38D2245554

Address:
1610 12TH ST SE
SALEM, OR
ZIP 97302
Phone: (541) 316-6575
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CLEAR CHOICE DERMATOLOGY is a dermatopathology pathology in Salem, OR. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. CLEAR CHOICE DERMATOLOGY NPI is 1316797640. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1610 12TH ST SE
SALEM, OR
ZIP 97302-821
Phone: (541) 316-6575
Fax: (541) 210-8913

The provider's authorized official is Collin Matthew Blattner .
The authorized official title is Owner and has the following contact phone number (602) 228-1967.

The CLIA number assigned to this NPI record is 38D2245554 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/27/2024 and was last updated on 3/27/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZD0900XPathologyDermatopathologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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