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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