ADAM JOHN FISHBACK

CLACKAMAS, OR
NPI1083295166
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  201390444RN)
Enumeration Date2021-04-20
Last Update Date2021-04-20
Business Address
ADAM JOHN FISHBACK
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-813-2000
Mailing Address
ADAM JOHN FISHBACK
913 NE BIRCHWOOD DR
HILLSBORO, OR 97124-3373
Phone number: 503-523-6245
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