ELIJAH MATTHEW HILLSTROM C.PED
NPI 1386982452
Pedorthist in Vancouver, WA

Active since January 24, 2013
4903 NE ST JOHNS RD, VANCOUVER, WA 98661(360) 635-8079(360) 450-2236 Get Directions Write a Review

NPPES record last updated: January 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elijah Matthew Hillstrom C.ped NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIJAH MATTHEW HILLSTROM C.PED (NPI 1386982452) is an individual pedorthist provider in Vancouver, Washington, licensed in Washington (CPED3653) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1386982452
Entity TypeIndividualMale
Primary Taxonomy224L00000X
Provider Legal NameELIJAH MATTHEW HILLSTROMCredential: C.PED
Location Address4903 NE ST JOHNS RDVancouver, WA 98661-2546
Mailing Address3816 Ne 38th AveVancouver, WA 98661-3426 · (360) 635-8079 · Fax (360) 450-2236
Fax(360) 450-2236
Sole ProprietorNo
Enumeration DateJanuary 24, 2013
NPI 1386982452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224L00000X
License Licensed in WA · CPED3653
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.
4903 NE ST JOHNS RD, Vancouver, WA 98661

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies (Customized Equipment)
4903 NE ST JOHNS RD
VANCOUVER, WA 98661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elijah Hillstrom's NPI number?

The NPI number for Elijah Hillstrom is 1386982452. It was assigned to this individual provider in the NPPES registry on January 24, 2013.

Where is Elijah Hillstrom located?

Elijah Hillstrom practices at 4903 NE St Johns Rd, Vancouver, WA 98661. The listed phone number is (360) 635-8079.

What is Elijah Hillstrom's specialty?

The primary specialty registered for this NPI is Pedorthist with taxonomy code 224L00000X.

When was this NPI record last updated?

The NPPES record for Elijah Hillstrom was last updated on January 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.