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Elijah Matthew Hillstrom, CPED
Pedorthist in Vancouver, Washington
NPI 1386982452

Elijah Matthew Hillstrom is a Pedorthist based in Vancouver, WA. Elijah Matthew Hillstrom practices in Vancouver, WA and has the professional credentials of CPED. The NPI Number for Elijah Matthew Hillstrom is 1386982452 and holds a License No. CPED3653 (Washington).

The current practice location address for Elijah Matthew Hillstrom is 4903 Ne St Johns Rd, Vancouver, WA and can be reached out via phone at 360-635-8079 and via fax at 360-450-2236.

Location: 4903 Ne St Johns Rd, Vancouver, WA, 98661-3426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386982452
Provider Name
Elijah Matthew Hillstrom
Credential
CPED
Provider Entity Type
Individual
Gender
Male
Address
4903 Ne St Johns Rd, Vancouver, WA, 98661-3426
Phone Number
360-635-8079
Fax Number
360-450-2236
Provider Enumeration Date
01/24/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4903 Ne St Johns Rd
City
Vancouver
State
Washington
Zip
98661-2546
Phone Number
360-635-8079
Fax Number
360-450-2236
person
Provider Business Mailing Address Details
Address
4903 Ne St Johns Rd
City
Vancouver
State
Washington
Zip
98661-2546
Phone Number
360-635-8079
Fax Number
360-450-2236
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
224L00000X
License No.
CPED3653 (Washington)
Definition
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.
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