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CLEAR CHOICE DERMATOLOGY
NPI 1316797640
Pathology - Dermatopathology in Salem, OR

Active since March 27, 2024CLIA Certified · 4 labs
1610 12TH ST SE, SALEM, OR 97302(541) 316-6575(541) 210-8913 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clear Choice Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEAR CHOICE DERMATOLOGY (NPI 1316797640) is a healthcare organization registered as a dermatopathology in Salem, Oregon and active in the NPI registry since March 2024. The organization holds 4 active CLIA laboratory certificates and lists Collin Matthew Blattner, Owner, as its authorized official.

NPPES Registry Identity

NPI1316797640
Entity TypeOrganization
Primary Taxonomy207ZD0900X
Legal Business NameCLEAR CHOICE DERMATOLOGY
Location Address1610 12TH ST SESalem, OR 97302-2821
Mailing AddressPo Box 2430The Dalles, OR 97058-8022 · (541) 316-6575 · Fax (541) 210-8913
Phone(541) 316-6575
Fax(541) 210-8913
Organization SubpartYes
Authorized OfficialCollin Matthew BlattnerOwner · (602) 228-1967
Enumeration DateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1316797640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
Definition
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
1610 12TH ST SE, Salem, OR 97302
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Other Names 1

Other NameCc Dermpath Lab

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 38D2342744

Clear Choice Dermatology · Woodburn, OR
Active · expires Apr 23, 2028
CLIA Number38D2342744
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2026
Certificate Expiration DateApril 23, 2028
Laboratory DirectorNikki D. Tang
Laboratory Phone(541) 316-6575
Laboratory LocationClear Choice Dermatology693 Ray J Glatt Cir, Woodburn, OR 97071
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 38D2184502

Clear Choice Dermatology LLC · The Dalles, OR
Active · expires Dec 13, 2026
CLIA Number38D2184502
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2024
Certificate Expiration DateDecember 13, 2026
Laboratory DirectorNikki Danielle Ying Tang
Laboratory Phone(541) 316-6575
Laboratory LocationClear Choice Dermatology LLC1825 East 19th St, The Dalles, OR 97058
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 38D2301823

Clear Choice Dermatology · Sandy, OR
Active · expires Aug 21, 2026
CLIA Number38D2301823
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorDr. Nikki D. Tang
Laboratory Phone(541) 316-6575
Laboratory LocationClear Choice Dermatology37587 Us-26, Sandy, OR 97055
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 38D2245554

Clear Choice Dermatology · Salem, OR
Active · expires Mar 22, 2028
CLIA Number38D2245554
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2026
Certificate Expiration DateMarch 22, 2028
Laboratory DirectorCollin T. Blattner
Laboratory Phone(503) 837-6395
Laboratory LocationClear Choice Dermatology966 12th St SE Suite #130, Salem, OR 97302
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN KISER
Physician Assistant (Medical)
1610 12TH ST SE
SALEM, OR 97302
Marion County (801) 837-6395
TAYLOR BEAVERS PA
Physician Assistant
1610 12TH ST SE
SALEM, OR 97302
Marion County (503) 905-9006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clear Choice Dermatology's NPI number?

The NPI number for Clear Choice Dermatology is 1316797640. It was assigned to this organization in the NPPES registry on March 27, 2024. The provider is also known as CC Dermpath Lab.

Where is Clear Choice Dermatology located?

Clear Choice Dermatology is located at 1610 12th St SE, Salem, OR 97302. The listed phone number is (541) 316-6575.

What is Clear Choice Dermatology's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Does Clear Choice Dermatology hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Clear Choice Dermatology was last updated on March 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.