Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northwest Ketamine Clinics Tacoma, PLLC

Organization Nurse Practitioner · NPI 1215528732

Northwest Ketamine Clinics Tacoma, PLLC provides Nurse Practitioner services 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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