Healthcare Provider Details

I. General information

NPI: 1104752328
Provider Name (Legal Business Name): CLEAR PATH BEHAVIORAL HEALTH AND WELLNESS SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1666 E OLIVE WAY
SEATTLE WA
98102-5627
US

IV. Provider business mailing address

10260 SW GREENBURG RD 4TH FLOOR
PORTLAND OR
97223
US

V. Phone/Fax

Practice location:
  • Phone: 833-452-4357
  • Fax: 888-892-4338
Mailing address:
  • Phone: 833-452-4357
  • Fax: 888-892-4338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TANIA GUERRIER CASTOR
Title or Position: DIRECTOR
Credential: APRN
Phone: 833-452-4357