Active NPI
Clear Choice Dermatology
- Dermatology Physician
- Port Angeles, WA
National Provider Identifier
1881590818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- CLEAR CHOICE DERMATOLOGY
- Practice address
- 602 E Front St
Port Angeles, WA 98362-3320 - Phone
- (541) 316-6575
- Fax
- (541) 210-8913
- NPI assigned
- Oct 16, 2026
- Last updated
- Oct 16, 2026
- Organization subpart
- Yes
- Parent organization
- CLEAR CHOICE DERMATOLOGY
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
602 E Front St
Port Angeles, WA 98362-3320
Mailing address
1825 E 19TH St
The Dalles, OR 97058-3365
Phone (541) 316-6575
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": "1792108800000",
"number": "1881590818",
"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": "602 E FRONT ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983623320",
"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": "2026-10-16",
"certification_date": "2026-10-16",
"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": "",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.