Provider Demographics
NPI:1932421070
Name:SEATTLE OASIS, PLLC
Entity type:Organization
Organization Name:SEATTLE OASIS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LMP/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:IRENE MARIA
Authorized Official - Last Name:KEICH
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:206-838-5318
Mailing Address - Street 1:2130 WESTLAKE AVE N
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2495
Mailing Address - Country:US
Mailing Address - Phone:206-838-5318
Mailing Address - Fax:206-432-8876
Practice Address - Street 1:2130 WESTLAKE AVE N
Practice Address - Street 2:SUITE 4
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2495
Practice Address - Country:US
Practice Address - Phone:206-838-5318
Practice Address - Fax:206-432-8876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 00017647225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty