| Stacey J. Clarke Dpm, Pc | |
|
1408 N Hall St, La Grande, OR 97850-3807 | |
| (541) 963-0265 | |
| (541) 963-6176 |
| Full Name | Stacey J. Clarke Dpm, Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1408 N Hall St, La Grande, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558490763 | NPI | - | NPPES |
| 150541 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | DP00283 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey J. Clarke Dpm, Pc 1408 N Hall St, La Grande, OR 97850-3807 Ph: (541) 963-0265 | Stacey J. Clarke Dpm, Pc 1408 N Hall St, La Grande, OR 97850-3807 Ph: (541) 963-0265 |
Travis Theron Hampton, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1408 N Hall St, La Grande, OR 97850 Phone: 541-963-0265 Fax: 541-963-6176 | |
Stacey J Clarke, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1408 N Hall St, La Grande, OR 97850 Phone: 541-963-0265 Fax: 541-963-6176 | |
Dr. Stacy E. Iles, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 710 Sunset Dr Ste F, La Grande, OR 97850 Phone: 541-663-3100 Fax: 541-975-5135 |