Organization
IDEAL OPTION, PLLC
Active
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
3110 CLEVELAND BLVD BLDG A, CALDWELL, ID 83605-0718
(509) 222-1275
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
207P00000X
Emergency Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
261Q00000X
Clinic/Center
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457788275
—
ID
Enumeration date
05/31/2017
Last updated
04/16/2025
Update your record
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