Organization Active NPI

Clear Choice Dermatology

  • Dermatology Physician
  • West Linn, OR
National Provider Identifier
1548166564
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
CLEAR CHOICE DERMATOLOGY
Practice address
18380 Willamette Dr Ste 202
West Linn, OR 97068-1200
Phone
(541) 316-6575
Fax
(541) 210-8913
NPI assigned
Oct 16, 2026
Last updated
Oct 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CLEAR CHOICE DERMATOLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Carrie Leach
Title
Billing Manager
Phone
(541) 316-6575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

18380 Willamette Dr Ste 202
West Linn, OR 97068-1200

Mailing address

1825 E 19TH St
The Dalles, OR 97058-3365
Phone (541) 316-6575

National Provider Directory

National Provider Directory
Tax ID family
Clear Choice Dermatology5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18380 Willamette Dr
Ste 202
West Linn, OR 97068
Phone (503) 635-8384

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1548166564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 E 19TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583365",
            "telephone_number": "541-316-6575",
            "fax_number": "541-210-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18380 WILLAMETTE DR STE 202",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681200",
            "telephone_number": "541-316-6575",
            "fax_number": "541-210-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CHOICE DERMATOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEAR CHOICE DERMATOLOGY",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "541-316-6575",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.