STACEY J. CLARKE D.P.M., P.C.
NPI 1477680569
Durable Medical Equipment & Medical Supplies in La Grande, OR

Active since February 27, 2007
1408 N HALL ST, LA GRANDE, OR 97850(541) 963-0265(541) 963-6176 Get Directions Write a Review

NPPES record last updated: March 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey J. Clarke D.p.m., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY J. CLARKE D.P.M., P.C. (NPI 1477680569) is a healthcare organization registered as a durable medical equipment & medical supplies in La Grande, Oregon and active in the NPI registry since February 2007. The organization lists Stacey J Clarke, Owner, as its authorized official.

NPPES Registry Identity

NPI1477680569
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSTACEY J. CLARKE D.P.M., P.C.
Location Address1408 N HALL STLa Grande, OR 97850-3807
Mailing Address1408 N Hall StLa Grande, OR 97850-3807 · (541) 963-0265 · Fax (541) 963-6176
Fax(541) 963-6176
Organization SubpartNo
Authorized OfficialStacey J ClarkeOwner · (541) 963-0265
Enumeration DateFebruary 27, 2007
Last NPPES UpdateMarch 10, 2015
NPI 1477680569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in OR · DP00283
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1408 N HALL ST, La Grande, OR 97850

Other Identifiers 3

Medicare NSC4222100001OR
Medicare UPINU30842OR
Medicare OSCAR/certificationR0000SGBNJOR

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
1408 N HALL ST
LA GRANDE, OR 97850
Clinic/Center (Podiatric)
1408 N HALL ST
LA GRANDE, OR 97850
Podiatrist
1408 N HALL ST
LA GRANDE, OR 97850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey J. Clarke D.P.M., P.C.'s NPI number?

The NPI number for Stacey J. Clarke D.P.M., P.C. is 1477680569. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Stacey J. Clarke D.P.M., P.C. located?

Stacey J. Clarke D.P.M., P.C. is located at 1408 N Hall St, La Grande, OR 97850. The listed phone number is (541) 963-0265.

What is Stacey J. Clarke D.P.M., P.C.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Stacey J. Clarke D.P.M., P.C. was last updated on March 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.