Healthcare Provider Details

I. General information

NPI: 1871098715
Provider Name (Legal Business Name): JAMIE OBLEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2018
Last Update Date: 07/08/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6905 HARRIS AVE MCBH KANEOHE BAY
KAILUA HI
96734
US

IV. Provider business mailing address

NAVAL HEALTH CLINIC HAWAII 480 CENTRAL AVENUE
PEARL HARBOR HI
96860
US

V. Phone/Fax

Practice location:
  • Phone: 808-496-3365
  • Fax:
Mailing address:
  • Phone: 404-735-6034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number01082552A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number01082552A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: