Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark D Nellermoe Professional Service Corporation

Organization Podiatrist · NPI 1194145094

Mark D Nellermoe Professional Service Corporation is a Podiatrist in University Place, Washington. Licensed in Washington. Registered with an NPI since 2014.

Licensed in
WA
In the registry since
2014

Practice location Address checks out

3929 Bridgeport Way W Ste 308
University Place, WA 98466-4455
Phone: (253) 627-4181
Fax: (253) 272-5922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence PO00000507 (WA)

Record details

NPI number1194145094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Nellermoe — Owner · (253) 627-4181
NPI enumeratedApril 18, 2014
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address3929 Bridgeport Way W Ste 308, University Place, WA 98466-4455

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