Healthcare Provider Details

I. General information

NPI: 1801758289
Provider Name (Legal Business Name): SIHAAM ABDI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16549 AURORA AVE N
SHORELINE WA
98133-5308
US

IV. Provider business mailing address

16549 AURORA AVE N
SHORELINE WA
98133-5308
US

V. Phone/Fax

Practice location:
  • Phone: 206-533-2600
  • Fax:
Mailing address:
  • Phone: 206-533-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: