NW KETAMINE INFUSION LLC

TUALATIN, OR
NPI1255065504
Entity TypeOrganization
Authorized ContactDAVID KLEIMAN
Owner
323-687-6775
Organization Subpart ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
Enumeration Date2022-07-12
Last Update Date2022-07-12
Business Address
NW KETAMINE INFUSION LLC
19365 SW 65TH AVE STE 205
TUALATIN, OR 97062-9196
Phone number: 503-427-0356
Mailing Address
NW KETAMINE INFUSION LLC
19365 SW 65TH AVE STE 205
TUALATIN, OR 97062-9196
Phone number: 503-427-0356