Organization
IDEAL OPTION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN JEFFERSON DAWSON MD (CMO)
(509) 222-1275
Entity
Organization
Contact information
Practice address
405 W MAIN ST, WALLA WALLA, WA 99362-2822
(877) 522-1275
(509) 491-3031
Mailing address
500 SW 7TH ST STE A205, RENTON, WA 98057-2983
(877) 522-1275
(833) 888-7145
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261Q00000X
CLINIC/CENTER
WA
Enumeration date
08/29/2018
Last updated
04/16/2025
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