CLARKE PODIATRY, LLC; NPI #1790295228

Contact Information

CLARKE PODIATRY, LLC

113 S MAIN ST
MILTON-FREEWATER, OR 97862-1342

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

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NPI Profile & details for CLARKE PODIATRY, LLC

NPI # 1790295228

LBN Legal business name CLARKE PODIATRY, LLC

Authorized official STACEY CLARKE - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/11/2017

Last updated 03/07/2023 - About 3 years ago

Identifiers

OR	License #	DP00283
OR	Medicaid	150541
OR	Other	6805300	BLUE CROSS BLUE SHIELD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CLARKE PODIATRY, LLC

Contact Information

Specialty

Surgery, Foot & Ankle

Surgery, Foot

NPI Profile & details for CLARKE PODIATRY, LLC

Reviews for CLARKE PODIATRY, LLC