Individual provider · Type 1 NPI

Gordon S. Nishimoto, DPM

Foot & Ankle Surgery Podiatrist · Everett, WA

NPI number 1356334460 Active · reactivated Sep 18, 2006

Practice location

10821 19th Ave SE Ste 201
Everett, WA 98208-5103

Call (425) 337-7000 Map

Fax (425) 338-2408

Mailing address

1100 Pacific Ave Ste 300
Everett, WA 98201-4261

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPO00000725 (WA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1356334460

Gordon S. Nishimoto, DPM's National Provider Identifier is 1356334460, issued on Aug 24, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Everett, WA. The record was last updated on Mar 31, 2025.