Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Olivia Tullier Fasano

Individual provider Physician Assistant · NPI 1144880477

Olivia Tullier Fasano is a Physician Assistant in Vancouver, Washington. Qualified in 2019, 7 years ago. Practices with Peacehealth, a 248-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
7
Licensed in
WA
In the registry since
2019
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

505 NE 87th Ave Ste 301
Vancouver, WA 98664-1965
Phone: (360) 514-1854
Fax: (360) 514-6063
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 600 N Wolfe St, Baltimore, MD 21287-0005 — (410) 502-2651
  • 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 — (301) 896-3100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61268379 (WA)
Physician Assistant Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1144880477
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 18, 2019
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Peacehealth — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Vancouver