STACEY J. CLARKE DPM, PC
NPI 1558490763
Podiatrist in La Grande, OR

Active since March 05, 2007
1408 N HALL ST, LA GRANDE, OR 97850(541) 963-0265(541) 963-6176 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacey J. Clarke Dpm, Pc NPPES

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

STACEY J. CLARKE DPM, PC (NPI 1558490763) is a healthcare organization registered as a podiatrist in La Grande, Oregon and active in the NPI registry since March 2007. The organization lists Stacey J Clarke, Owner, as its authorized official.

NPPES Registry Identity

NPI1558490763
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameSTACEY J. CLARKE DPM, PC
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 DateMarch 5, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1558490763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in OR · DP00283
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1408 N HALL ST, La Grande, OR 97850

Other Identifiers 1

Medicaid150541OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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
Durable Medical Equipment & Medical Supplies
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 Dpm, PC's NPI number?

The NPI number for Stacey J. Clarke Dpm, PC is 1558490763. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Stacey J. Clarke Dpm, PC located?

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

What is Stacey J. Clarke Dpm, PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Stacey J. Clarke Dpm, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.