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

NW Ketamine Infusion LLC

Organization Certified Registered Nurse Anesthetist · NPI 1255065504

NW Ketamine Infusion LLC is a Certified Registered Nurse Anesthetist in Tualatin, Oregon. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

19365 SW 65th Ave Ste 205
Tualatin, OR 97062-9196
Phone: (503) 427-0356
Fax: (503) 907-9255
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 number1255065504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Kleiman — Owner · (323) 687-6775
NPI enumeratedJuly 12, 2022
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022
Mailing address19365 Sw 65th Ave Ste 205, Tualatin, OR 97062-9196