Organization
FOOT COMFORT TECHNOLOGIES
Active
Other names
Pro Comfort Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIJAH MATTHEW HILLSTROM C.PED (OWNER)
(360) 574-6691
Entity
Organization
Contact information
Practice address
4903 NE ST JOHNS RD, VANCOUVER, WA 98661-2546
(360) 574-6691
(360) 450-2236
Mailing address
4903 NE ST JOHNS RD, VANCOUVER, WA 98661-2546
(360) 574-6691
(360) 450-2236
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
CPED3653
WA
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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