Ketamine Therapy Clinics in Washington
Washington has a well-developed ketamine therapy scene, with clinics concentrated in the greater Seattle metro and additional options spread across cities on both sides of the Cascades. This page helps you find an in-person clinic, compare treatment formats, and get a realistic sense of what to expect before you book a consultation.
Ketamine therapy is used for conditions that have not responded well to standard treatments. Clinicians across Washington work with patients dealing with treatment-resistant depression, PTSD, OCD, anxiety disorders, and certain chronic pain conditions. A licensed medical provider needs to evaluate your full history before confirming whether ketamine therapy is a good fit.
The directory covers only in-person clinics where treatment is administered on site. Whether you are in Seattle or a smaller city like Wenatchee or Kennewick, the listings below can help you find a provider close to home.
Where to Find Ketamine Therapy in Washington
Clinics in Washington are spread across the state, from the dense Seattle metro to cities in Eastern Washington. The heaviest concentration sits in and around Seattle, with Tacoma, Bellevue, and Bellingham also hosting multiple providers.
Seattle
12 clinicsSeattle, set between Puget Sound and Lake Washington in the heart of the Pacific Northwest, is one of the busier areas in the state for ketamine therapy. Providers here offer IV infusion, IM ketamine, and Spravato, giving patients across King County and the broader metro real options for treatment-resistant depression and chronic pain. The concentration of clinics reflects both the city's size and its well-developed healthcare scene.
View all 12 clinics in SeattleVancouver
8 clinicsVancouver sits just across the Columbia River from Portland, Oregon, making it a natural draw for patients on both sides of the state line who want care in Washington. This is one of the busier areas in the state, with providers offering IV infusion, IM ketamine, and Spravato. Its position in the Portland metro means patients from Clark County and southwest Washington have solid local access without heading east toward the Cascades.
View all 8 clinics in VancouverBellevue
7 clinicsBellevue sits on the eastern shore of Lake Washington, directly across from Seattle, and has grown into a healthcare destination in its own right for Eastside communities including Kirkland, Redmond, and Issaquah. Clinics here offer both IV infusion and Spravato, serving patients who prefer to stay closer to home rather than cross the bridges into the city. It ranks among the busier areas in the state for ketamine therapy, reflecting the density of the surrounding suburbs.
View all 7 clinics in BellevueTacoma
5 clinicsSouth of Seattle along the shores of Commencement Bay, Tacoma anchors Pierce County and serves as a practical hub for the broader South Sound region, including communities like Puyallup, Lakewood, and Gig Harbor. Patients here can access IV infusion, IM ketamine, and Spravato without making the drive up Interstate 5 to the metro. Tacoma is one of the busier areas in the state, a reflection of its size and its role as a regional center.
View all 5 clinics in TacomaBellingham
3 clinicsBellingham is tucked between the Cascade foothills and Bellingham Bay, roughly midway between Seattle and the Canadian border, and it serves as the primary medical hub for Whatcom County. Several providers here offer IV infusion, IM ketamine, and Spravato, which matters for patients in this corner of the state who might otherwise face a long drive south. Its location makes it a practical choice for residents of Whatcom and Skagit counties as well as those living near the border crossing at Blaine.
View all 3 clinics in BellinghamMore Cities in Washington
Ketamine and Spravato providers also operate in these Washington cities. Select one to see local clinics, treatment formats, and how to get started.
Bainbridge Island
1 clinic
Battle Ground
1 clinic
Burien
1 clinic
Everett
2 clinics
Federal Way
3 clinics
Gig Harbor
2 clinics
Issaquah
2 clinics
Kenmore
1 clinic
Kennewick
3 clinics
Kent
1 clinic
Kirkland
2 clinics
Lakewood
2 clinics
Mercer Island
2 clinics
Olympia
2 clinics
Poulsbo
1 clinic
Puyallup
1 clinic
Redmond
1 clinic
Renton
3 clinics
Spokane
3 clinics
Spokane Valley
1 clinic
Tukwila
1 clinic
University Place
1 clinic
Walla Walla
1 clinic
Wenatchee
1 clinic
Yelm
1 clinic
How Much Ketamine Therapy Costs in Washington
Average ketamine infusion cost in Washington: $340 to $415 per session (based on 15 clinics with published pricing).
Several Washington clinics publish their per-infusion rates, so comparison shopping is more feasible here than in states where pricing is opaque. That said, the total cost depends heavily on which treatment format you choose and how many sessions make up your starter course. Self-pay is the norm across most formats, though Spravato is an FDA-approved nasal spray that some insurance plans will cover, with coverage varying widely by plan.
Types of Ketamine Treatment Offered in Washington
IV ketamine infusion and Spravato are both well-represented in Washington's major metros, while other formats like intramuscular, sublingual, and ketamine-assisted psychotherapy are actually the most geographically widespread. They turn up in smaller cities and suburbs across the state. If you are outside the Seattle metro, other ketamine formats may be your most accessible local option. Every listing in this directory is an in-person clinic where treatment is given on site.
Many clinics offer more than one format, so these figures overlap and add up to more than the total number of clinics.
- Ketamine Infusion Therapy: 29 clinics. Available in Battle Ground, Bellevue, Bellingham, Burien, and more.
- Spravato (Esketamine): 58 clinics. Available in Bellevue, Bellingham, Everett, Federal Way, and more.
- Other Ketamine Formats: 12 clinics. Available in Bellingham, Burien, Gig Harbor, Issaquah, and more.Other ways ketamine is given, like intramuscular injection or oral and sublingual dosing.
Separately, 13 clinics in Washington offer Ketamine-Assisted Psychotherapy, which pairs ketamine with guided therapy sessions rather than a delivery method of its own. Available in Bellevue, Bellingham, Gig Harbor, Issaquah, and more.
How to Choose a Ketamine Clinic in Washington
Washington's clinics span a wide geography, from dense urban neighborhoods in Seattle to smaller cities in Eastern Washington. Where you live will shape which formats are realistically within reach.
- Format availability by location: IV infusion and Spravato are concentrated in Seattle, Tacoma, Bellevue, and a few other cities. If you live farther out, check which formats are actually offered at the clinics nearest you before assuming you have full choice.
- Initial evaluation process: Reputable clinics require a medical intake before scheduling your first session. Ask how the evaluation works, what records they need, and whether a referring provider is required.
- Clinician credentials: Confirm that a licensed physician, nurse practitioner, or other qualified clinician will supervise your treatment. Ask specifically who will be present during sessions.
- Monitoring during treatment: Ketamine sessions require monitoring of blood pressure and heart rate throughout. Ask what the clinic's protocol is and who is responsible for that oversight.
- Pricing and payment options: Some Washington clinics publish rates and some do not. Get a written cost breakdown for the full starter course before committing, and ask whether payment plans are offered.
- Follow-up care: Ask whether the clinic coordinates with your existing mental health provider or offers integration support after sessions. Ongoing care matters for how well results hold over time.
Frequently Asked Questions
Here are answers to common questions about finding and starting ketamine therapy in Washington.
What conditions do Washington ketamine clinics typically treat?
Ketamine therapy is most commonly sought by people who have not gotten enough relief from standard treatments for depression, PTSD, anxiety disorders, OCD, or certain chronic pain conditions. Washington clinics vary in which conditions they focus on, so check each clinic's intake criteria. A licensed medical provider should evaluate your situation before any treatment begins.
How does IV ketamine infusion differ from Spravato?
IV ketamine infusion delivers the medication directly into the bloodstream through an intravenous line, usually over about 40 to 60 minutes, and is used off-label for a range of conditions. Spravato is an FDA-approved nasal spray containing esketamine that you self-administer at the clinic under supervision.
The two formats differ in how the drug is absorbed, how the session is structured, and how insurance may apply. IV infusion is almost always self-pay, while Spravato has an approval pathway that makes insurance coverage possible, though not guaranteed.
What happens during a ketamine therapy session?
You arrive at the clinic, go through a brief check-in, and settle into a treatment room. Staff monitor your blood pressure and heart rate throughout the session. Depending on the format, a session can last anywhere from about 45 minutes to a few hours. Most clinics ask that you arrange a ride home rather than driving yourself afterward.
Which cities in Washington have ketamine clinics?
The greatest concentration is in Seattle, Tacoma, and Bellevue. Clinics also operate in Bellingham, Kenmore, Vancouver, Spokane, Kennewick, Wenatchee, and a number of smaller Puget Sound cities. The city list on this page reflects where active in-person clinics are currently listed.
Does insurance cover ketamine therapy in Washington?
Coverage is limited for most formats. IV ketamine infusion is used off-label and is rarely reimbursed by insurance, so patients generally pay out of pocket. Spravato has a better chance of coverage because it carries FDA approval, but whether a specific plan covers it depends on the insurer and the diagnosis. Calling your insurer before scheduling is the most reliable way to find out.
How much does ketamine therapy cost in Washington?
A number of Washington clinics publish their pricing online, which makes it easier to compare costs than in many other states. The total you pay depends on which treatment format you choose and how many sessions are in your starter course. Ask each clinic for a written breakdown of per-session and full-course costs before committing.
How do I choose between the clinics listed here?
Start with location and format. Not every city offers every type of treatment, so narrow the list to clinics that offer what your provider recommends and that you can realistically get to. From there, compare credentials, the intake process, total cost for a starter course, and how closely each clinic monitors patients.
Does this directory list at-home or telehealth ketamine options?
No. Every listing in this directory is a clinic that administers treatment in person. At-home or telehealth ketamine services are not included.
Is ketamine therapy legal in Washington?
Yes. Ketamine is a Schedule III controlled substance under U.S. federal law and is legal for licensed clinicians to prescribe and administer off-label, including for treatment-resistant depression and other conditions. Spravato (esketamine), the FDA-approved nasal-spray form, is dispensed only in certified healthcare settings under a federal Risk Evaluation and Mitigation Strategy (REMS) program. That applies in Washington as it does nationwide. The standards for who may administer treatment are set by state regulators and by the clinicians themselves; you can look up the current licensing board for your state through the Federation of State Medical Boards directory at fsmb.org. This page is informational and not legal or medical advice. Consult a licensed medical provider before starting treatment.
This directory provides information about in-person ketamine therapy clinics in Washington and does not endorse any provider or offer medical advice. Ketamine therapy is used for certain conditions but is not appropriate for everyone. Always consult a licensed medical professional to determine whether treatment is right for you.