NPIMap

Organization Active NPI

Clear Choice Dermatology

Doing business as The Skin Docs

  • Dermatology Physician
  • The Dalles, OR
National Provider Identifier
1891327185
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
CLEAR CHOICE DERMATOLOGY
Doing business as
Clear Choice Dermatology
The Skin Docs
Practice address
1825 E 19TH St
The Dalles, OR 97058-3365
Phone
(541) 316-6575
Fax
(541) 210-8913
NPI assigned
Feb 5, 2020
Last updated
Oct 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

1825 E 19TH St
The Dalles, OR 97058-3365

Mailing address

PO Box 2430
The Dalles, OR 97058-8022
Phone (541) 316-6575

Other names 2

  • Clear Choice Dermatology Doing business as
  • The Skin Docs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20200522001411 OR Part B Supplier - Clinic/Group Practice 4789005034 Receives reassigned benefits from 49 practitioners
Practice locations: Warrenton, OR; The Dalles, OR; Sweet Home, OR; Sandy, OR; Salem, OR; Lake Oswego, OR; Hood River, OR; Hillsboro, OR…
O20200611000412 WA Part B Supplier - Clinic/Group Practice 4789005034 Receives reassigned benefits from 39 practitioners
Practice locations: Federal Way, WA; Goldendale, WA; Longview, WA; Port Angeles, WA; Silverdale, WA; Tacoma, WA
O20231201002864 OH Part B Supplier - Clinic/Group Practice 4789005034 Receives reassigned benefits from 1 practitioner
Practice locations: Austintown, OH

National Provider Directory

National Provider Directory

Locations

6487 Mahoning Ave
Ste F
Youngstown, OH 44515
Phone 5413166575184

256 SE 2nd Ave
Hillsboro, OR 97123
Phone (503) 648-1003

123 C Ave
Lake Oswego, OR 97034
Phone (702) 550-9784

83 SW K St
Madras, OR 97741
Phone (503) 506-0474

1610 12th St SE
Salem, OR 97302
Phone (503) 905-9006

37587 Highway 26
Sandy, OR 97055
Phone (503) 506-0474

1815 E 15th St
Ste B
The Dalles, OR 97058

1815 E 19th St
Ste B
The Dalles, OR 97058
Phone 5413166575184

1609 S Main Ave
Warrenton, OR 97146

909 S 336th St
Ste B101
Federal Way, WA 98003
Phone (253) 735-1991

1815 Hudson St
Longview, WA 98632
Phone (360) 636-2636

602 E Front St
Port Angeles, WA 98362

9399 Ridgetop Blvd NW
Ste 102
Silverdale, WA 98383
Phone (360) 900-2626

5901 Steilacoom Blvd SW
Tacoma, WA 98499
Phone (253) 203-2880

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 95

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.

View all 95

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1891327185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2430",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970588022",
            "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": "1825 E 19TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583365",
            "telephone_number": "541-316-6575",
            "fax_number": "541-210-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CHOICE DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "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"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Choice Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Skin Docs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Skin Docs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Dalles, OR

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.