Organization
ELITE MOBILE WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR HAYNES DPM (OWNER)
(503) 668-5210
Entity
Organization
Contact information
Practice address
37569 HIGHWAY 26, SANDY, OR 97055-9301
(503) 668-5210
Mailing address
37569 HIGHWAY 26, SANDY, OR 97055-9301
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
08/06/2024
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