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NW KETAMINE INFUSION LLC NPI 1255065504


NPI Information

NPI: 1255065504
Provider Name: NW KETAMINE INFUSION LLC
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Organization
Address:
19365 SW 65TH AVE STE 205
TUALATIN, OR
ZIP 97062
Phone: (503) 427-0356
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NW KETAMINE INFUSION LLC is a nurse anesthetist certified registered in Tualatin, OR. The provider is (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. NW KETAMINE INFUSION LLC NPI is 1255065504. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19365 SW 65TH AVE STE 205
TUALATIN, OR
ZIP 97062-196
Phone: (503) 427-0356
Fax: (503) 907-9255

The provider's authorized official is David Kleiman .
The authorized official title is Owner and has the following contact phone number (323) 687-6775.

The enumeration date for this NPI number is 7/12/2022 and was last updated on 7/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified RegisteredYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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