Organization
IDEAL OPTION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MARIE BOWDEN (CONTRACTING & CREDENTIALING MANAGER)
(509) 570-9302
Entity
Organization
Contact information
Practice address
4128 HAYWARD AVE, BALTIMORE, MD 21215-4340
(877) 522-1275
(833) 888-7145
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
Enumeration date
09/22/2023
Last updated
04/15/2025
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