Active NPIIndividual provider

Maryan Abdirahman

Physician Assistant, Medical in Olympia, Washington

NPI Number1861254856
Practice location
3030 Limited Ln NW, Olympia, WA 98502-2704
Fax
360-704-2914
Last updated
December 19, 2025

Maryan Abdirahman is a Physician Assistant, Medical based in Olympia, WA. The NPI number for Maryan Abdirahman is 1861254856 and holds license No. PA70055184 (WA). The current practice location address is 3030 Limited Ln NW, Olympia, WA 98502-2704 and the office can be reached by phone at 360-491-1399 and by fax at 360-704-2914. The NPI was assigned on January 25, 2024 and the record was last updated in NPPES on December 19, 2025.

●Provider Profile Details

NPI Number
1861254856
Provider Name
Maryan Abdirahman
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Enumeration Date
January 25, 2024
Last Update Date
December 19, 2025
Certification Date
December 19, 2025
NPI Status
Active

◉Business Practice Location Address

Address
3030 Limited Ln NW
Olympia, WA 98502-2704
ZIP
98502-2704
Country
US
Phone Number
360-491-1399
Fax Number
360-704-2914

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✉Business Mailing Address

Address
Po Box 34703
Seattle, WA 98124-1703
City
Seattle
State
WA
ZIP
98124-1703

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physician Assistant, Medical363AM0700XYesPA70055184WA
Student in an Organized Health Care Education/Training Program390200000XNo——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Maryan Abdirahman?

The NPI number of Maryan Abdirahman is 1861254856. It was assigned on January 25, 2024 and is currently active in the NPPES registry.

What is the specialty of Maryan Abdirahman?

Maryan Abdirahman is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X) and holds license No. PA70055184 (WA).

Where does Maryan Abdirahman practice?

The practice location is 3030 Limited Ln NW, Olympia, WA 98502-2704. The office can be reached at 360-491-1399 (phone) or 360-704-2914 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861254856 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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