OrganizationActive
Elite Mobile Wound Care LLC
NPI 1902634256 · Podiatrist · Sandy, OR
Provider details
- NPI number
- 1902634256
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Trevor Haynes, Owner(503) 668-5210
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
37569 Highway 26
Sandy, OR 97055-9301
Phone: (503) 668-5210
Approximate (ZIP-level) locationGet directions
Mailing address
37569 Highway 26
Sandy, OR 97055-9301
Registry dates
- Enumerated
- 2024-07-25
- Last updated
- 2024-08-06
- Certified
- 2024-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.