Mr Jack Allan Som, RNFA - Clinical Nurse Specialist in Vancouver, WA

Mr Jack Allan Som, RNFA is a Clinical Nurse Specialist - Perioperative based in Vancouver, Washington. Mr Jack Allan Som is licensed to practice in Washington (license number RN00061877) and his current practice location is Medical Center 400 Ne, Mother Joseph Place, Vancouver, Washington. He can be reached at his office (for appointments etc.) via phone at (360) 514-2000.

NPI number for Mr Jack Allan Som is 1295954998 and his current mailing address is 16506 Ne 28th Ave, Ridgefield, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295954998.

Contact Information

Mr Jack Allan Som, RNFA
Medical Center 400 Ne, Mother Joseph Place,
Vancouver, WA 98668-9989
(360) 514-2000
Not Available

Map and Direction




Provider's Profile

Full NameMr Jack Allan Som
GenderMale
SpecialityClinical Nurse Specialist - Perioperative
LocationMedical Center 400 Ne, Vancouver, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1295954998
  • Provider Enumeration Date: 04/24/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Jack Allan Som such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295954998NPI-NPPES
RN00061877OtherWAREGISTERED NURSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP2800XClinical Nurse Specialist - Perioperative RN00061877 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jack Allan Som is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jack Allan Som, RNFA
16506 Ne 28th Ave,
Ridgefield, WA 98642-8958

Ph: (360) 609-2898
Mr Jack Allan Som, RNFA
Medical Center 400 Ne, Mother Joseph Place,
Vancouver, WA 98668-9989

Ph: (360) 514-2000

Reviews and Comments


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