NPI 1316797640
Clear Choice Dermatology
Practice location
- Address
- 1610 12th St SE, Salem, OR 97302-2821
- Phone
- (541) 316-6575
- Fax
- (541) 210-8913
- Mailing address
- PO Box 2430, The Dalles, OR 97058-8022
Authorised official
- Name
- Collin Matthew Blattner
- Title
- Owner
- Phone
- (602) 228-1967
Registered specialties
Dermatopathology (Pathology) Physician
Primary
Registry record
- NPI
- 1316797640
- Entity type
- Organization
- NPI issued
- 27 Mar 2024
- Record last updated
- 27 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.