Individual
DR. JEFFREY ROBERT O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 E FARWELL RD, STE 204, SPOKANE, WA 99218-8207
(509) 385-0600
(509) 466-4798
Mailing address
309 E FARWELL RD, STE 204, SPOKANE, WA 99218-8210
(509) 385-0600
(509) 466-4798
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD000018303
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1029367
MEDICAID
WA
05
—
1089200
—
WA
01
—
MD 000018303
WASHINGTON STATE LICENSE
WA
Enumeration date
09/20/2006
Last updated
10/25/2016
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