Elijah Matthew Hillstrom, C.Ped
Pedorthist in Vancouver, WA. Individual provider (NPI-1).
NPI number1386982452
StatusActive
Last updated in NPPESJan 24, 2013
Details
- NPI
- 1386982452
- Entity type
- Individual (NPI-1)
- Name
- Elijah Matthew Hillstrom
- Credential
- C.Ped
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2013
- Last updated
- Jan 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224L00000X | Pedorthist | CPed3653 | WA | Yes |
Practice location
4903 Ne St Johns RdVancouver, WA 98661-2546
Phone 360-635-8079 · Fax 360-450-2236
Mailing address
3816 Ne 38th AveVancouver, WA 98661-3426
Phone 360-635-8079 · Fax 360-450-2236
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