| Clarke Podiatry, Llc | |
|
113 S Main St, Milton Freewater, OR 97862-1342 | |
| (541) 786-2321 | |
| (541) 854-4020 |
| Full Name | Clarke Podiatry, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 113 S Main St, Milton Freewater, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790295228 | NPI | - | NPPES |
| 6805300 | Other | OR | BLUE CROSS BLUE SHIELD |
| 150541 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DP00283 (Oregon) | Primary |
| 213ES0131X | Podiatrist - Foot Surgery | DP00283 (Oregon) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Clarke Podiatry, Llc Po Box 687, Milton Freewater, OR 97862-0687 Ph: (541) 786-2321 | Clarke Podiatry, Llc 113 S Main St, Milton Freewater, OR 97862-1342 Ph: (541) 786-2321 |
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