ELIJAH MATTHEW HILLSTROM C.PED NPI 1386982452

NPI Information

Elijah Matthew Hillstrom, C.PED is a pedorthist in Vancouver, WA. The provider is 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. Elijah Matthew Hillstrom, C.PED NPI is 1386982452. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4903 NE ST JOHNS RD
VANCOUVER, WA
ZIP 98661-546
Phone: (360) 635-8079
Fax: (360) 450-2236

The enumeration date for this NPI number is 1/24/2013 and was last updated on 1/24/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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