Whalio Doctors

NPI 1316797640

Clear Choice Dermatology

Organisation Dermatopathology (Pathology) Physician Salem, OR

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
Allopathic & Osteopathic Physicians Taxonomy 207ZD0900X

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.