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1255104527
IDEAL OPTION, PLLC
ALBANY, OR
NPI
1255104527
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Entity Type
Organization
Authorized Contact
SHANNON MARIE BOWDEN
Credentialing Manager
509-570-9302
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2023-10-30
Last Update Date
2023-10-30
Business Address
IDEAL OPTION, PLLC
619 9TH AVE SE
ALBANY, OR 97322-3210
Phone number: 877-522-1275
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Mailing Address
IDEAL OPTION, PLLC
5615 DUNBARTON AVE
PASCO, WA 99301-8216
Phone number: 509-222-1275
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