FOOT COMFORT TECHNOLOGIES NPI 1194063255

NPI Information

  • NPI: 1194063255
  • Provider Name: FOOT COMFORT TECHNOLOGIES
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Doing Business As: PRO COMFORT MEDICAL
  • Address: 4903 NE ST JOHNS RD
    VANCOUVER, WA
    ZIP 98661
  • Phone: (360) 574-6691

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NPI Details

FOOT COMFORT TECHNOLOGIES is a customized equipment durable medical equipment medical supplies in Vancouver, WA. FOOT COMFORT TECHNOLOGIES NPI is 1194063255. The provider is registered as an organization entity type.
The provider Is Doing Business As Pro Comfort Medical.

The provider's business location address is:

4903 NE ST JOHNS RD
VANCOUVER, WA
ZIP 98661-546
Phone: (360) 574-6691
Fax: (360) 450-2236

The provider's authorized official is Elijah Matthew Hillstrom .
The authorized official title is Owner and has the following contact phone number (360) 574-6691.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentCPED3653WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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