ELITE MOBILE WOUND CARE LLC NPI 1902634256

NPI Information

  • NPI: 1902634256
  • Provider Name: ELITE MOBILE WOUND CARE LLC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 37569 HIGHWAY 26
    SANDY, OR
    ZIP 97055
  • Phone: (503) 668-5210

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NPI Details

ELITE MOBILE WOUND CARE LLC is a podiatrist in Sandy, OR. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ELITE MOBILE WOUND CARE LLC NPI is 1902634256. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

37569 HIGHWAY 26
SANDY, OR
ZIP 97055-301
Phone: (503) 668-5210

The provider's authorized official is Trevor Haynes .
The authorized official title is Owner and has the following contact phone number (503) 668-5210.

The enumeration date for this NPI number is 7/25/2024 and was last updated on 8/6/2024.

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
1213E00000XPodiatristYes

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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