IndividualActive
Jack Som, RNFA
NPI 1295954998 · Perioperative Clinical Nurse Specialist · Vancouver, WA
Provider details
- NPI number
- 1295954998
- Entity type
- Individual
- Primary specialty
- Perioperative Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RNFA
- Sex
- Male
- Sole proprietor
- Yes
- License
- RN00061877 (WA)
Practice location
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
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.