Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386982452 Individual Practitioner Male Practitioner

Elijah Matthew Hillstrom , CPED

Pedorthist • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Elijah Hillstrom, CPED is a registered healthcare professional specializing in Pedorthist in Vancouver, WA. Practice services are available at 4903 NE ST JOHNS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4903 Ne St Johns Rd

Vancouver, WA 986612546

Telephone 3606358079
Fax 3604502236
Associated Practice Facility / Clinic
🏢 Foot Comfort Technologies Facility NPI 1194063255

Specialty Benchmarks & Practice Insights

Comparative analytics for Pedorthist in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Vancouver, WA (9 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pedorthist Primary Specialty

NUCC Taxonomy Code: 224L00000X

State License WA CPED3653

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 24, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2013

Registered at 4903 NE ST JOHNS RD, VANCOUVER, WA 986612546 (Tel: 3606358079)

📍
Updated Business Mailing Address January 24, 2013

Registered at 3816 NE 38TH AVE, VANCOUVER, WA 986613426 (Tel: 3606358079)

👤
Provider Name / Credentials Updated January 24, 2013

Recorded as ELIJAH HILLSTROM, C.PED

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2013

Pedorthist (License #CPED3653 in WA)

🟢
Initial NPI Registration & Enumeration January 24, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386982452
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2013
Last Update: January 24, 2013
Sole Proprietor: No

Mailing Address

3816 Ne 38th Ave

Vancouver, WA 986613426

Phone: 3606358079

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.