CLARKE PODIATRY LLC NPI 1790295228

NPI Information

  • NPI: 1790295228
  • Provider Name: CLARKE PODIATRY, LLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 113 S MAIN ST
    MILTON FREEWATER, OR
    ZIP 97862
  • Phone: (541) 786-2321

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NPI Details

CLARKE PODIATRY, LLC is a foot and ankle surgery podiatrist in Milton Freewater, OR. CLARKE PODIATRY, LLC NPI is 1790295228. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

113 S MAIN ST
MILTON FREEWATER, OR
ZIP 97862-342
Phone: (541) 786-2321
Fax: (541) 854-4020

The provider's authorized official is Stacey J. Clarke .
The authorized official title is Owner and has the following contact phone number (541) 786-2321.

The enumeration date for this NPI number is 10/11/2017 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0131XPodiatristFoot SurgeryDP00283OREGONNo
2213ES0103XPodiatristFoot & Ankle SurgeryDP00283OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16805300OTHEROREGONBLUE CROSS BLUE SHIELD
2150541MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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