Provider Type Icon

CLEAR CHOICE SKIN SOLUTIONS OF OLYMPIA NPI 1902083983


NPI Information

NPI: 1902083983
Provider Name: CLEAR CHOICE SKIN SOLUTIONS OF OLYMPIA

Doing Business As: CLEAR CHOICE SKIN SOLUTIONS & LASER CLINIC

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
1800 COOPER POINT RD SW STE 2A
OLYMPIA, WA
ZIP 98502
Phone: (360) 943-7546
Get Directions

CLEAR CHOICE SKIN SOLUTIONS OF OLYMPIA is a preferred provider organization in Olympia, WA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. CLEAR CHOICE SKIN SOLUTIONS OF OLYMPIA NPI is 1902083983. The provider is registered as an organization entity type.
The provider Is Doing Business As Clear Choice Skin Solutions & Laser Clinic.

The provider's business location address is:

1800 COOPER POINT RD SW STE 2A
OLYMPIA, WA
ZIP 98502-037
Phone: (360) 943-7546
Fax: (360) 943-7568

The provider's authorized official is Rebekah Anne Kruger .
The authorized official title is Lmp, Le, Medical Biller, Office Man and has the following contact phone number (360) 943-7546.

The enumeration date for this NPI number is 1/22/2008 and was last updated on 1/22/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider OrganizationMA00023689WASHINGTONNo
2305R00000XPreferred Provider OrganizationMD00026210WASHINGTONYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.