NPI 1134025158 · live from the CMS NPI Registry
Clear Choice Dermatology
Dermatology in Gearhart, OR. National Provider Identifier 1134025158, active.
NPI record
| NPI | 1134025158 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 3619 Highway 101 N, Gearhart, OR 97138 |
| Practice phone | 541-316-6575 |
| Mailing address | 1825 E 19th St, The Dalles, OR 97058 |
| Enumerated | October 16, 2026 |
| Last updated | October 16, 2026 |
| Authorized official | Carrie Leach, Billing Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.