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

Neogenesis Nutrition Inc

Organization Health Service Clinic/Center · NPI 1861191868

Neogenesis Nutrition Inc is a Health Service Clinic/Center in University Place, Washington. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7018 59th Street Ct W
University Place, WA 98467-2172
Phone: (253) 507-5775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2607 Bridgeport Way W Ste 2m, University Place, WA 98466-4725 — (253) 507-5775

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1861191868
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Champion — Owner · (253) 507-5775
NPI enumeratedFebruary 28, 2023
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
Mailing address7018 59th Street Ct W, University Place, WA 98467-2172

Other providers in University Place