IndividualActive
Adam Fishback
NPI 1083295166 · Certified Registered Nurse Anesthetist · Clackamas, OR
Provider details
- NPI number
- 1083295166
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 201390444RN (OR)
Practice location
10180 Se Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (503) 813-2000
Mailing address
500 Ne Multnomah St Fl 11
Portland, OR 97232-2023
Registry dates
- Enumerated
- 2021-04-20
- Last updated
- 2025-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.