Healthcare Provider Details

I. General information

NPI: 1760341531
Provider Name (Legal Business Name): OASIS PATHWAY THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 S JACKSON ST STE 301
SEATTLE WA
98104-2872
US

IV. Provider business mailing address

108 S JACKSON ST STE 301
SEATTLE WA
98104-2872
US

V. Phone/Fax

Practice location:
  • Phone: 206-473-2997
  • Fax:
Mailing address:
  • Phone: 206-473-2997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: ASIA LEE BLACK
Title or Position: OWNER
Credential:
Phone: 206-473-2997