Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STACY E. ILES, DPM
Active Sole ProprietorDR. STACY E. ILES, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in LA GRANDE, Oregon. NPI 1811257165 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · LA GRANDE, OR
Registration Details
- NPI Number
- 1811257165
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 21, 2012 (14.204027490558 yrs)
- Last Updated
- Oct 3, 2023
- Licenses
-
25MD00327200 (NJ)DP186880 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
710 SUNSET DR STE FLA GRANDE, OR, 978501200Browse OR providers · Browse ZIP 97850
- Phone
- 5416633100
- Fax
- 5419755135
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Other Foot & Ankle Surgery Podiatrist Providers in LA GRANDE, OR
| Name | Credential | NPI |
|---|---|---|
| TRAVIS THERON HAMPTON | DPM | 1184937435 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.