National Provider Identifier Database

CLEAR CHOICE SKIN SOLUTIONS OF OLYMPIA
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

CLEAR CHOICE SKIN SOLUTIONS OF OLYMPIA
1800 COOPER POINT RD SW STE 2A
OLYMPIA, WA98502-1037
Phone: 360-943-7546
Fax: 360-943-7568
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for CLEAR CHOICE SKIN SOLUTIONS OF OLYMPIA

NPI Number 1902083983
Legal business name
LBN
CLEAR CHOICE SKIN SOLUTIONS OF OLYMPIA
Authorized official REBEKAH KRUGER - (LMP, LE, MEDICAL BILLER, OFFICE MAN)
Entity Organization
Organization subpart No
Enumeration date 01/22/2008
Last updated 01/22/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: MA00023689
  • WA License #: MD00026210

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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