NORTHWEST KETAMINE CLINICS TACOMA, PLLC – Nurse Practitioner, NPI 1215528732

NORTHWEST KETAMINE CLINICS TACOMA, PLLC is a healthcare provider. based in Snoqualmie, Washington. specializing in Nurse Practitioner. The NPI Number for NORTHWEST KETAMINE CLINICS TACOMA, PLLC is 1215528732

Main info

Organization
Name
NORTHWEST KETAMINE CLINICS TACOMA, PLLC
NPI
1215528732
Phone
(206) 330-6722
Address
35302 SE CENTER ST
Authorized Official
ALLYN D WILCOCK OWNER ARNP
Enumeration Date
27 January 2021
Last Update Date
27 January 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

Provider Addresses for NORTHWEST KETAMINE CLINICS TACOMA, PLLC

  • 35302 SE CENTER ST

    SNOQUALMIE, WA 980659216

    Phone: (206) 330-6722

    Fax: (425) 256-3250

    Type: Mailing

  • 1901 S UNION AVE

    BUILDING B, SUITE 4001

    TACOMA, WA 98405

    Phone: (206) 309-2299

    Fax: (425) 256-3250

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98065)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for NORTHWEST KETAMINE CLINICS TACOMA, PLLC?
NORTHWEST KETAMINE CLINICS TACOMA, PLLC — NPI 1215528732 — is the standard way to identify this listing.
Does CMS list NORTHWEST KETAMINE CLINICS TACOMA, PLLC as active?
Yes — NORTHWEST KETAMINE CLINICS TACOMA, PLLC is active in the NPI listing used on this page.
What healthcare role does NORTHWEST KETAMINE CLINICS TACOMA, PLLC hold?
Scheduling teams often label NORTHWEST KETAMINE CLINICS TACOMA, PLLC under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for NORTHWEST KETAMINE CLINICS TACOMA, PLLC?
NORTHWEST KETAMINE CLINICS TACOMA, PLLC's geographic hint is Snoqualmie, Washington in our summary view.
Is the information about NORTHWEST KETAMINE CLINICS TACOMA, PLLC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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