Search › Washington › 363A00000X
Olivia Tullier Fasano
NPI 1144880477 · on the registry since 2019
Practice
- Address
- 505 Ne 87th Ave Ste 301
Vancouver, WA 98664 - Phone
- (360) 514-1854
- Fax
- (360) 514-6063
- Organisation at this address
- Peacehealth
Peacehealth
Audiology Clinic, Inc.
Dermatology Associates
Vancouver Eye Care, P.S.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 156
Additional practice sites
- 600 N Wolfe St, Baltimore, MD
- 8600 Old Georgetown Rd, Bethesda, MD
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
390200000X - Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington