Organization
IDEAL OPTION, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN JEFFERSON DAWSON MD (CMO)
(509) 222-1275
Entity
Organization
Contact information
Practice address
8524 W GAGE BLVD, STE A160, KENNEWICK, WA 99336-8241
(509) 222-1275
(509) 491-3031
Mailing address
8656 W GAGE BLVD, SIUTE 301B, KENNEWICK, WA 99336-7145
(509) 222-1275
(509) 491-3031
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2031254
—
WA
Enumeration date
10/18/2016
Last updated
08/30/2023
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