Northwest Ketamine Clinics Pllc DBA Northwest Healing and Wellness

NPI #1174171458 in Bellevue, Washington

Provider Information

NPI Number
1174171458
Entity Type
Organization
Organization Name
Northwest Ketamine Clinics Pllc DBA Northwest Healing and Wellness
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Aug 29, 2019
Last Updated
May 29, 2025

Practice Location

Address
1750 112TH AVE NE STE C228
ZIP Code
98004-3773
Phone
(206) 309-2299

Authorized Official

Name
ALLYN WILCOCK, CRNA
Title
OWNER
Phone
(206) 330-6722

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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