Clear Choice Skin Solutions of Olympia

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

MD00026210 Issued in WA

Legal business name

CLEAR CHOICE SKIN SOLUTIONS OF OLYMPIA

Doing business as

Clear Choice Skin Solutions & Laser Clinic

Practice address

1800 Cooper Point Rd SW Ste 2a
Olympia, WA 98502-1037

Phone

(360) 943-7546

Fax

(360) 943-7568

NPI assigned

Jan 22, 2008

Last updated

Jan 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Rebekah Anne Kruger, LMP, LE

Title

LMP, Le, Medical Biller, Office Man

Phone

(360) 943-7546

Specialties & licenses 2

Addresses

Other names 1

• Clear Choice Skin Solutions & Laser Clinic Doing business as

Locations

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1902083983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW STE 2A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021037",
            "telephone_number": "360-943-7546",
            "fax_number": "360-943-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW STE 2A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021037",
            "telephone_number": "360-943-7546",
            "fax_number": "360-943-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CHOICE SKIN SOLUTIONS OF OLYMPIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "KRUGER",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "LMP, LE, MEDICAL BILLER, OFFICE MAN",
        "authorized_official_telephone_number": "360-943-7546",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMP, LE"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "MD00026210",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "MA00023689",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Choice Skin Solutions & Laser Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanne M Clarkson, RN
• Amanda Nicole Clauson, CNM, ARNP
• Egypt Claxton
• Shelby Ann Claxton
• Gabrielle Nora Clayton, M.A,, L.M.H.C.
• Clear Insights Therapy LLC
• David William Clegg, LICENSED COUNSELOR
• Jonathan Paul Clemens, DMSC, PA-C
• Lora S Clements, MS, OTRL
• Jonathan Daniel Clemons, PA-C

• Preferred Provider Organization in Olympia, WA
• Providers in Olympia, WA by specialty
• Preferred Provider Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.