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NW KETAMINE INFUSION LLC
NPI 1255065504
Nurse Anesthetist, Certified Registered in Tualatin, OR

Active since July 12, 2022
19365 SW 65TH AVE STE 205, TUALATIN, OR 97062(503) 427-0356(503) 907-9255 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nw Ketamine Infusion Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NW KETAMINE INFUSION LLC (NPI 1255065504) is a healthcare organization registered as a nurse anesthetist, certified registered in Tualatin, Oregon and active in the NPI registry since July 2022. The organization lists David Kleiman, Owner, as its authorized official.

NPPES Registry Identity

NPI1255065504
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameNW KETAMINE INFUSION LLC
Location Address19365 SW 65TH AVE STE 205Tualatin, OR 97062-9196
Mailing Address19365 Sw 65th Ave Ste 205Tualatin, OR 97062-9196 · (503) 427-0356 · Fax (503) 907-9255
Phone(503) 427-0356
Fax(503) 907-9255
Organization SubpartNo
Authorized OfficialDavid KleimanOwner · (323) 687-6775
Enumeration DateJuly 12, 2022
NPPES CertifiedJuly 12, 2022
✔ NPI 1255065504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
19365 SW 65TH AVE STE 205, Tualatin, OR 97062
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KLEIMAN HEALTHCARE SERVICES
Clinic/Center (Primary Care)
19365 SW 65TH AVE STE 205
TUALATIN, OR 97062
Washington County (503) 427-0588
OR KREW, LLC
Home Health
19365 SW 65TH AVE STE 205
TUALATIN, OR 97062
Washington County (503) 855-4415
LUMINIFY LLC
Clinic/Center
19365 SW 65TH AVE STE 205
TUALATIN, OR 97062
Washington County (971) 825-2015
NIKKI PISTIOLAS LOPEZ FNP-C
Nurse Practitioner (Family)
19365 SW 65TH AVE STE 205
TUALATIN, OR 97062
Washington County (503) 427-0588

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is NW Ketamine Infusion LLC's NPI number?

The NPI number for NW Ketamine Infusion LLC is 1255065504. It was assigned to this organization in the NPPES registry on July 12, 2022.

Where is NW Ketamine Infusion LLC located?

NW Ketamine Infusion LLC is located at 19365 SW 65th Ave Ste 205, Tualatin, OR 97062. The listed phone number is (503) 427-0356.

What is NW Ketamine Infusion LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for NW Ketamine Infusion LLC was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.