Clarke Podiatry, Llc

LBN: Clarke Podiatry, Llc
Clarke Podiatry, Llc is an health care organization with primary practice located at 113 S Main St , Milton Freewater OR 97862-1342. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Clarke Podiatry, Llc can be contacted via phone (541) 786-2321, or through Clarke, Stacey J. via phone (541) 786-2321.

Contact Information

Primary practice address
113 S Main St Milton Freewater OR 97862-1342
Phone: (541) 786-2321
Fax: (541) 854-4020
Website:
Map and Directions
Authorized official contact:
Name: Clarke, Stacey J. Doctor of Podiatric Medicine (DPM)
Phone: (541) 786-2321

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X DP00283 Oregon
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X DP00283 Oregon

Profile Details

NPI number 1790295228
LBN Legal business name Clarke Podiatry, Llc
DBA Doing business as
Authorized official Clarke, Stacey J. Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2017
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790295228 NPPES
Oregon Other 6805300 BLUE CROSS BLUE SHIELD
Oregon MEDICAID 150541 BLUE CROSS BLUE SHIELD

Popular Providers