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
9735 SW SHADY LN STE 103, TIGARD, OR 97223-5481
(877) 522-1275
(509) 491-3031
Mailing address
8656 W GAGE BLVD STE 301B, KENNEWICK, WA 99336-7145
(877) 522-1275
(509) 491-3031
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500698482
—
OR
Enumeration date
12/13/2017
Last updated
08/30/2023
Update your record
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