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Organization

CLEAR CHOICE DERMATOLOGY

Active
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Organization

CLEAR CHOICE DERMATOLOGY

Active
Parent organization
CLEAR CHOICE DERMATOLOGY
Other names
CC Dermpath Lab
Organization subpart
Yes

Provider details

NPI number
Legal business name
CLEAR CHOICE DERMATOLOGY
Authorized official
COLLIN MATTHEW BLATTNER DO (OWNER)
(602) 228-1967
Entity
Organization

Contact information

Practice address
1610 12TH ST SE, SALEM, OR 97302-2821
(541) 316-6575
(541) 210-8913
Mailing address
PO BOX 2430, THE DALLES, OR 97058-8022
(541) 316-6575
(541) 210-8913

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary

Other

Enumeration date
03/27/2024
Last updated
03/27/2024
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