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Contact Information

ELIJAH M HILLSTROM, C.PED
4903 NE ST JOHNS RD
VANCOUVER, WA98661-2546
 Phone: 360-635-8079
 Fax: 360-450-2236
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pedorthist

224L00000X
Indicates primary specialty

NPI Profile & details for ELIJAH M HILLSTROM · (Male)

NPI Number 1386982452
Status Active
Credentials C.PED
Entity Individual
Enumeration date 01/24/2013
Last updated 01/24/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • WA License # CPED3653
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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