NORTHWEST KETAMINE CLINICS PLLC

SEATTLE, WA
NPI1174171458
Entity TypeOrganization
Authorized ContactALLYN WILCOCK
Owner
206-330-6722
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2019-08-29
Last Update Date2019-08-29
Business Address
NORTHWEST KETAMINE CLINICS PLLC
901 BOREN AVE STE 1730
SEATTLE, WA 98104-3549
Phone number: 206-309-2299
Mailing Address
NORTHWEST KETAMINE CLINICS PLLC
35302 SE CENTER ST
SNOQUALMIE, WA 98065-9216
Phone number: 206-309-2299