Organization
NORTHWEST KETAMINE CLINICS PLLC DBA NORTHWEST HEALING AND WELLNESS
Active
Other names
Northwest Healing and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYN WILCOCK CRNA (OWNER)
(206) 330-6722
Entity
Organization
Contact information
Practice address
1750 112TH AVE NE STE C228, BELLEVUE, WA 98004-3773
(206) 309-2299
(425) 256-3250
Mailing address
35302 SE CENTER ST, SNOQUALMIE, WA 98065-9216
(206) 309-2299
(425) 256-3250
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
05/29/2025
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