MR. JACK ALLAN SOM RNFA
NPI 1295954998
Clinical Nurse Specialist - Perioperative in Vancouver, WA

Q: What is Jack Som's NPI number?

The NPI number for Jack Som is 1295954998. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Q: What is Jack Som's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Perioperative, with taxonomy code 364SP2800X.

Q: When was this NPI record last updated?

The NPPES record for Jack Som was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 24, 2007

MEDICAL CENTER 400 NE, MOTHER JOSEPH PLACE, VANCOUVER, WA 98668(360) 514-2000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Jack Allan Som Rnfa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACK ALLAN SOM RNFA (NPI 1295954998) is an individual perioperative provider in Vancouver, Washington, licensed in Washington (RN00061877) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1295954998

Entity TypeIndividualMale

Primary Taxonomy364SP2800X

Provider Legal NameMR. JACK ALLAN SOMCredential: RNFA

Location AddressMEDICAL CENTER 400 NE, MOTHER JOSEPH PLACEVancouver, WA 98668-9989

Mailing Address16506 Ne 28th AveRidgefield, WA 98642-8958 · (360) 609-2898

Phone(360) 514-2000

Sole ProprietorYes

Enumeration DateApril 24, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1295954998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · PerioperativePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP2800X

License✔ Licensed in WA · RN00061877

MEDICAL CENTER 400 NE, Vancouver, WA 98668

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Other Identifiers 1

OtherRN00061877WA · Registered Nurse

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Som's NPI number?

The NPI number for Jack Som is 1295954998. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Jack Som located?

Jack Som practices at Medical Center 400 NE Mother Joseph Place, Vancouver, WA 98668. The listed phone number is (360) 514-2000.

What is Jack Som's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Perioperative, with taxonomy code 364SP2800X.

When was this NPI record last updated?

The NPPES record for Jack Som was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.