Individual provider · Type 1 NPI
Elijah Matthew Hillstrom, C.PED
Pedorthist · Vancouver, WA
NPI number
1386982452
Active
Practice location
4903 NE St Johns Rd
Vancouver, WA 98661-2546
Fax (360) 450-2236
Mailing address
3816 NE 38th Ave
Vancouver, WA 98661-3426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pedorthist Primary | 224L00000X | CPED3653 (WA) |
Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
Another provider at this address
About NPI 1386982452
Elijah Matthew Hillstrom, C.PED's National Provider Identifier is 1386982452, issued on Jan 24, 2013. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Vancouver, WA. The record was last updated on Jan 24, 2013.