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

Ketamine Clinic of Spokane LLC

Organization Certified Registered Nurse Anesthetist · NPI 1902603277

Ketamine Clinic of Spokane LLC is a Certified Registered Nurse Anesthetist in Spokane, Washington. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3707 S Grand Blvd Ste 101D
Spokane, WA 99203-2762
Phone: (509) 934-7177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1902603277
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Spartz — Owner · (509) 847-9835
NPI enumeratedFebruary 25, 2025
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025
Mailing addressPo Box 1385, Idaho Falls, ID 83403-1385

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