| Sky Valley Psychedelic Medical | |
|
101 E Main St Ste 209 Monroe WA 98272-1519 | |
| (360) 949-7555 | |
| Not Available |
| Full Name | Sky Valley Psychedelic Medical |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 101 E Main St Ste 209, Monroe, Washington |
| Authorized Official Name and Position | John Palmer Lovejoy (PHYSICIAN) |
| Authorized Official Contact | 3609497555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sky Valley Psychedelic Medical 40016 145th Pl Se Gold Bar WA 98251-9471 Ph: (707) 239-6190 | Sky Valley Psychedelic Medical 101 E Main St Ste 209 Monroe WA 98272-1519 Ph: (360) 949-7555 |
| NPI Number | 1689386807 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 12/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689386807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
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