NPI 1174171458

Northwest Ketamine Clinics PLLC Dba Northwest Healing and Wellness

Organisation Certified Registered Nurse Anesthetist Bellevue, WA

Practice location

Address: 1750 112th Ave NE STE C228, Bellevue, WA 98004-3773
Phone: (206) 309-2299
Fax: (425) 256-3250
Mailing address: 35302 SE Center St, Snoqualmie, WA 98065-9216

Authorised official

Name: Allyn Wilcock
Title: Owner
Phone: (206) 330-6722

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X

Other Nurse Anesthetist, Certified Registered providers in Washington →

Registry record

NPI: 1174171458
Entity type: Organization
NPI issued: 29 Aug 2019
Record last updated: 29 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.