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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