NPI 1386982452

Elijah Matthew Hillstrom, CPED

Practitioner Pedorthist Vancouver, WA

Practice location

Address: 4903 NE St Johns Rd, Vancouver, WA 98661-2546
Phone: (360) 635-8079
Fax: (360) 450-2236
Mailing address: 3816 NE 38th Ave, Vancouver, WA 98661-3426

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence CPED3653 (WA)

Other Pedorthist providers in Washington →

Registry record

NPI: 1386982452
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2013
Record last updated: 24 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.