Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ketamine Seattle, PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1891588729

Ketamine Seattle, PLLC is a Psychiatric/Mental Health Nurse Practitioner in Seattle, Washington. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3800 Aurora Ave N Ste 360
Seattle, WA 98103-8721
Phone: (503) 998-5415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1891588729
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Watson — Owner · (503) 998-5415
NPI enumeratedMay 23, 2025
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025
Mailing address3800 Aurora Ave N Ste 360, Seattle, WA 98103-8721

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