Healthcare Provider Details

I. General information

NPI: 1669965281
Provider Name (Legal Business Name): ADAM WILLIAM FINE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2018
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL HEALTH CLINIC OAK HARBOR 3475 N SARATOGA ST
OAK HARBOR WA
98278-0001
US

IV. Provider business mailing address

NAVAL HEALTH CLINIC OAK HARBOR 3475 N SARATOGA ST
OAK HARBOR WA
98278-0001
US

V. Phone/Fax

Practice location:
  • Phone: 360-257-9812
  • Fax:
Mailing address:
  • Phone:
  • 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 TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101269018
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: