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

Northwest Ketamine Clinics Tacoma, PLLC

Organization Nurse Practitioner · NPI 1215528732

Northwest Ketamine Clinics Tacoma, PLLC is a Nurse Practitioner in Tacoma, Washington. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1901 S Union Ave Bldg B Ste 4001
Tacoma, WA 98405
Phone: (206) 309-2299
Fax: (425) 256-3250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1215528732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allyn Wilcock — Owner · (206) 330-6722
NPI enumeratedJanuary 27, 2021
Last updated in NPPESJanuary 27, 2021
Certification dateJanuary 27, 2021
Mailing address35302 Se Center St, Snoqualmie, WA 98065-9216

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