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Contact Information

CLARKE PODIATRY, LLC
113 S MAIN ST
MILTON-FREEWATER, OR97862-1342
 Phone: 541-786-2321
 Fax: 541-854-4020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CLARKE PODIATRY LLC · (Female)

NPI Number 1790295228
Status Active
Credentials
Entity Individual
Enumeration date 10/11/2017
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # DP00283
  • OR Medicaid 150541
  • OR Other 6805300 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
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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