Healthcare Provider Details

I. General information

NPI: 1801605233
Provider Name (Legal Business Name): PATHWAY PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2024
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 ALASKAN WAY S STE 200
SEATTLE WA
98104-2785
US

IV. Provider business mailing address

450 ALASKAN WAY S STE 200
SEATTLE WA
98104-2785
US

V. Phone/Fax

Practice location:
  • Phone: 651-410-0894
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: KHALID ABDI
Title or Position: OWNER
Credential:
Phone: 651-410-0894