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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ADAM JOHN FISHBACK

Active

ADAM JOHN FISHBACK is a Certified Nurse Anesthetist (CRNA) healthcare provider located in CLACKAMAS, Oregon. NPI 1083295166 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · CLACKAMAS, OR

Registration Details

NPI Number
1083295166
Provider Type
Individual
Gender
Male
NPI Issued
Apr 20, 2021 (5.2931305478963 yrs)
Last Updated
Aug 13, 2025
Licenses
201390444RN (OR)
202111766CRNA-PP (OR)

Practice Information

Address
10180 SE SUNNYSIDE RD
CLACKAMAS, OR, 970158970
Browse OR providers · Browse ZIP 97015
Phone
5038132000
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in CLACKAMAS, OR

Name Credential NPI
RYAN A GINGRICH CRNA 1437186004
KENNETH DEAN HOFFMAN CRNA 1174550578
LISA ANNE FRANK CRNA 1639282213
KENNETH E ALLEN CRNA, MSA 1073627006
LINDA NEWBLOOM 1053425017
MR. LARRY MILTON RAMEY CRNA 1427163419
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.