PATHWAY GERIATRICS PLLC NPI 1154924207

NPI Information

  • NPI: 1154924207
  • Provider Name: PATHWAY GERIATRICS PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 50D2217958
  • Address: 8201 164TH AVE NE STE 325
    REDMOND, WA
    ZIP 98052
  • Phone: (425) 818-5311

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NPI Details

PATHWAY GERIATRICS PLLC is a primary care clinic center in Redmond, WA. PATHWAY GERIATRICS PLLC NPI is 1154924207. The provider is registered as an organization entity type.

The provider's business location address is:

8201 164TH AVE NE STE 325
REDMOND, WA
ZIP 98052-615
Phone: (425) 818-5311
Fax: (425) 434-1755

The provider's authorized official is Stephanie R Johnson .
The authorized official title is Owner and has the following contact phone number (425) 818-5311.

The CLIA number assigned to this NPI record is 50D2217958 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2020 and was last updated on 9/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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