Organization
OCONNOR FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ROBERT O'CONNOR (OWNER)
(509) 385-0600
Entity
Organization
Contact information
Practice address
309 E FARWELL RD, 204, SPOKANE, WA 99218-8207
(509) 385-0600
(509) 466-4798
Mailing address
309 E FARWELL RD, 204, SPOKANE, WA 99218-8207
(509) 385-0600
(509) 466-4798
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029367
—
WA
01
—
603063268
UBI
WA
01
—
DR3582
RR PTAN
WA
01
—
G8899209
GROUP PTAN
WA
Enumeration date
01/03/2011
Last updated
10/31/2016
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