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Organization

EID, JABER, JASSAR PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA OCONNOR MSHRM (CREDENTIALING)
(360) 636-1900
Entity
Organization

Contact information

Practice address
4312 S SETTLER DR STE 100, RIDGEFIELD, WA 98642-4532
(360) 636-1900
(360) 636-7317
Mailing address
1717 OLYMPIA WAY STE 108, LONGVIEW, WA 98632-3929
(360) 636-1900
(360) 636-7317

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
03/30/2026
Last updated
03/30/2026
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