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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