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Sky Valley Psychedelic Medical
Health Service Clinic/Center in Monroe, Washington
NPI 1689386807

Sky Valley Psychedelic Medical is a Health Service Clinic/Center based in Gold Bar, WA and is specialized in Health Service. Sky Valley Psychedelic Medical practices in Monroe, WA. The NPI Number for Sky Valley Psychedelic Medical is 1689386807 and holds a License No. (Washington).

The current practice location address for Sky Valley Psychedelic Medical is 101 E Main St Ste 209, Monroe, WA and can be reached out via phone at 360-949-7555.

Location: 101 E Main St Ste 209, Monroe, WA, 98251-9471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689386807
Provider Name
Sky Valley Psychedelic Medical
Credential
Provider Entity Type
Organization
Address
101 E Main St Ste 209, Monroe, WA, 98251-9471
Phone Number
360-949-7555
Fax Number
Provider Enumeration Date
12/19/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
101 E Main St Ste 209
City
Monroe
State
Washington
Zip
98272-1519
Phone Number
360-949-7555
Fax Number
person
Provider Business Mailing Address Details
Address
101 E Main St Ste 209
City
Monroe
State
Washington
Zip
98272-1519
Phone Number
360-949-7555
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
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