National Provider Identifier Database

JACK A SOM, RNFA – NPI #1295954998
Perioperative


Contact Information

JACK A SOM, RNFA
MEDICAL CENTER 400 NE
MOTHER JOSEPH PLACE
VANCOUVER, WA98668-9989
Phone: 360-514-2000
Fax:
Website:
Specialty Taxonomy Code
* Perioperative 364SP2800X

* Indicates primary specialty

NPI Profile & details for JACK A SOM

NPI Number 1295954998
Credentials RNFA
Entity Individual
Enumeration date 04/24/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • WA License #: RN00061877
  • WA Other: RN00061877 REGISTERED NURSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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