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1356065635
IDEAL OPTION PLLC
SALEM, OR
NPI
1356065635
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Entity Type
Organization
Authorized Contact
BRIAN JEFFERSON DAWSON
Cmo
509-222-1275
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2022-09-29
Last Update Date
2023-08-30
Business Address
IDEAL OPTION PLLC
675 ORCHARD HEIGHTS RD NW STE 100
SALEM, OR 97304-3240
Phone number: 877-522-1275
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Mailing Address
IDEAL OPTION PLLC
5615 DUNBARTON AVE
PASCO, WA 99301-8216
Phone number: 509-570-9302
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