Provider Demographics
NPI:1134939929
Name:PATHWAYS
Entity type:Organization
Organization Name:PATHWAYS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EYDIE
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:ARAGON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:831-594-5225
Mailing Address - Street 1:PO BOX 2134
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-0643
Mailing Address - Country:US
Mailing Address - Phone:503-770-0875
Mailing Address - Fax:
Practice Address - Street 1:9123 SE SAINT HELENS ST STE 275
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-6801
Practice Address - Country:US
Practice Address - Phone:503-770-0875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty