Individual provider · Type 1 NPI

Adam John Fishback

Certified Registered Nurse Anesthetist · Clackamas, OR

NPI number 1083295166 Active

Practice location

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970

Mailing address

500 NE Multnomah St Fl 11
Portland, OR 97232-2023

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X201390444RN (OR)
Certified Registered Nurse Anesthetist Primary 367500000X202111766CRNA-PP (OR)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

774 other providers at this address

Other certified registered nurse anesthetist providers in Clackamas

See all in Clackamas →

About NPI 1083295166

Adam John Fishback's National Provider Identifier is 1083295166, issued on Apr 20, 2021. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Clackamas, OR. The record was last updated on Aug 13, 2025.