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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
506 N 40TH AVE, STE 201, YAKIMA, WA 98908-4318
(509) 895-7740
(509) 895-7750
Mailing address
8656 W GAGE BLVD, SUITE 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
10/04/2016
Last updated
08/31/2023
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