Northwest Ketamine Clinics Pllc

LBN: Northwest Ketamine Clinics Pllc
Northwest Ketamine Clinics Pllc is an health care organization with primary practice located at 901 Boren Ave Ste 1730 , Seattle WA 98104-3549. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Northwest Ketamine Clinics Pllc can be contacted via phone (206) 309-2299, or through Wilcock, Allyn via phone (206) 330-6722.

Contact Information

Primary practice address
901 Boren Ave Ste 1730 Seattle WA 98104-3549
Phone: (206) 309-2299
Fax: (425) 256-3250
Website:
Map and Directions
Authorized official contact:
Name: Wilcock, Allyn ARNP
Phone: (206) 330-6722

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1174171458
LBN Legal business name Northwest Ketamine Clinics Pllc
DBA Doing business as
Authorized official Wilcock, Allyn ARNP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2019
Last updated Aug 29th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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