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Organization
PATHWAY GERIATRICS RESIDENTIAL PLLC
Active
Organization
PATHWAY GERIATRICS RESIDENTIAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE RAE JOHNSON ARNP (OWNER)
(425) 818-5312
Entity
Organization
Contact information
Practice address
8201 164TH AVE NE STE 325, REDMOND, WA 98052-7615
(425) 818-5311
(425) 434-1755
Mailing address
8201 164TH AVE NE STE 325, REDMOND, WA 98052-7615
(425) 818-5311
(425) 434-1755
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
NULL
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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