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Organization
GRYPHON KETAMINE AND INTEGRATVIE THERAPIES, PLLC
Active
Organization
GRYPHON KETAMINE AND INTEGRATVIE THERAPIES, PLLC
Active
Other names
NA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL KESZLER CRNA, ARNP (CO-FOUNDER / ANESTHESIA DIRECTOR)
(206) 245-7552
Entity
Organization
Contact information
Practice address
22525 SE 64TH PL # H-140, ISSAQUAH, WA 98027-5383
(206) 245-7552
Mailing address
22525 SE 64TH PL # H-140, ISSAQUAH, WA 98027-5383
(206) 245-7552
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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