NPI 1295954998
Jack Allan Som, RNFA
Practice location
- Address
- Medical Center 400 NE Mother Joseph Place, Vancouver, WA 98668-9989
- Phone
- (360) 514-2000
- Mailing address
- 16506 NE 28th Ave, Ridgefield, WA 98642-8958
Registered specialties
Perioperative Clinical Nurse Specialist
Primary
Registry record
- NPI
- 1295954998
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Apr 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.