CLARKE PODIATRY, LLC


Address: 113 S Main St, Milton Freewater, OR 97862-1342
Phone: 5417862321

CLARKE PODIATRY, LLC (NPI# 1790295228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790295228
Entity Type Organization
Organization Name CLARKE PODIATRY, LLC
Practice Address 113 S Main St
Milton Freewater
OR 97862-1342
Mailing Address Po Box 687
Milton Freewater
OR 97862-0687
Practice Telephone 5417862321
Practice Fax Number 5418544020
Mailing Telephone 5417862321
Mailing Fax Number 5418544020
Enumeration Date 2017-10-11
Last Update Date 2018-06-16
Authorized Official Name DR. STACEY J. CLARKE (OWNER)
Authorized Official Telephone 5417862321
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213ES0131X Podiatrist
Specialization: Foot Surgery
DP00283 OR Podiatric Medicine & Surgery Service Providers
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
DP00283 OR Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 150541 05
OR BLUE CROSS BLUE SHIELD 6805300 01
OR DEA BC4203408 01

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names CLARKE PODIATRY, LLC Po Box 329, Imbler, OR 97841

Office Location

Street Address 113 S MAIN ST
City MILTON FREEWATER
State OR
Zip Code 97862-1342

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538627062 Atlantic Home Health Care, LLC Home Health 113 S Main St, Milton Freewater, OR 97862-1342 2019-03-04
1134570948 Julie Medrano Counselor 113 S Main St, Milton Freewater, OR 97862-1342 2016-06-23
1013331479 Dynamic Edge Physical Therapy LLC Clinic/Center 113 S Main St, 113 S. Main, Milton Freewater, OR 97862-1342 2014-02-05
1710075619 Manford E. Anliker Physical Therapist 113 S Main St, Milton Freewater, OR 97862-1342 2006-10-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528538352 Paksupim Cole Massage Therapist 85452 Hwy 11, Milton Freewater, OR 97862 2018-12-05
1356812192 Lacey Elizabeth Rose Klem Massage Therapist 85458 Hywy 11, Milton Freewater, OR 97862 2018-12-05
1770778664 Amon Chiropractic LLC Chiropractor 85458 Hwy 11, Milton Freewater, OR 97862 2007-09-13
1215001052 Broadway Family Dental Care LLC Dentist 508 E Broadway, Milton Freewater, OR 97862 2006-11-20
1750462917 Sarah S Hsu Social Worker 1253 Stonewood Ct, Milton Freewater, OR 97862 2006-10-17
1548890916 Divine Mansiba Maganto Nurse's Aide 1010 Ne 3rd Ave, Milton Freewater, OR 97862 2020-01-24
1902317621 Michael David Bruno Speech-Language Pathologist 120 Elzora St, Milton Freewater, OR 97862 2017-10-20
1821475286 Danielle Strickland Massage Therapist 533 S Main St, Milton Freewater, OR 97862-1017 2015-05-05
1457476392 Alicia A Taylor Registered Nurse 110 Sw 4th Ave, Milton Freewater, OR 97862-1031 2007-03-20
1225401151 Serenity Counseling PC Community/Behavioral Health 1253 Stonewood Ct, Milton Freewater, OR 97862-1067 2015-10-30
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003432204 Frontier Foot and Ankle Specialists LLC Podiatrist 780 2nd St Se # 10, Bandon, OR 97411-8354 2020-06-23
1710436662 Hermiston Family Foot Clinic LLC Podiatrist 1050 W Elm Ave Ste 170, Hermiston, OR 97838-2715 2016-10-03
1255784492 Sunny Sajjad Podiatrist 4905 River Rd N, Keizer, OR 97303-4539 2016-07-22
1285080556 Sean Westover Podiatrist 1227 Ne 7th St Ste A, Grants Pass, OR 97526-1430 2016-05-05
1659774792 Heather Keeler Podiatrist 1880 Willamette Falls Dr Ste 111, West Linn, OR 97068-4653 2014-10-03
1386051803 Southwest Podiatry Center LLC Podiatrist 9370 Sw Greenburg Rd Ste 102, Portland, OR 97223-5428 2014-07-16
1578980694 Amy Theppote Podiatrist 6542 Se Lake Rd Ste 102, Milwaukie, OR 97222-2245 2014-03-26
1144576224 Trevor J Haynes Podiatrist 39400 Pioneer Blvd Ste 4, Sandy, OR 97055-8000 2012-07-26
1922379379 John S Balknap Dpm PC Podiatrist 1716 E 12th St, The Dalles, OR 97058-3137 2012-01-17
1407145568 Justin T Johnson Dpm Inc. Podiatrist 1661 Hwy 99 N Ste 201, Ashland, OR 97520-8900 2011-03-29
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Competitor

Search similar providers

City MILTON FREEWATER
Zip Code 97862

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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