ELIJAH MATTHEW HILLSTROM (NPI# 1386982452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386982452 |
| Entity Type | Individual |
| Full Name | ELIJAH MATTHEW HILLSTROM |
| Credential | C.PED |
| Practice Address |
4903 Ne St Johns Rd Vancouver WA 98661-2546 |
| Mailing Address |
3816 Ne 38th Ave Vancouver WA 98661-3426 |
| Practice Telephone | 3606358079 |
| Practice Fax Number | 3604502236 |
| Mailing Telephone | 3606358079 |
| Mailing Fax Number | 3604502236 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224L00000X | Pedorthist | CPED3653 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4903 NE ST JOHNS RD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661-2546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194063255 | Foot Comfort Technologies | Durable Medical Equipment & Medical Supplies | 4903 Ne St Johns Rd, Vancouver, WA 98661-2546 | 2013-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
| 1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
| Find all providers in zip 98661 | ||||
| Taxonomy Code | 224L00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Pedorthist |
| 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. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1205111218 | Andrew Smart | Pedorthist | 709 N. I St. Apt #3, Tacoma, WA 98403 | 2011-10-21 |
| 1336371038 | Greg P Bruno | Pedorthist | East 212 Central Ave Suite 215, Hanger Clinic, Spokane, WA 99208 | 2009-08-13 |
| 1538566161 | Collins Kenneth Freitas | Pedorthist | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2014-11-25 |
| 1407120611 | Joyce Hess | Pedorthist | 208 Lilly Rd Ne, Suite A, Olympia, WA 98506-6100 | 2012-03-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.