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1780199679
IDEAL OPTION, PLLC
TIGARD, OR
NPI
1780199679
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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
2017-12-13
Last Update Date
2023-08-30
Business Address
IDEAL OPTION, PLLC
9735 SW SHADY LN STE 103
TIGARD, OR 97223-5481
Phone number: 877-522-1275
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Mailing Address
IDEAL OPTION, PLLC
8656 W GAGE BLVD STE 301B
KENNEWICK, WA 99336-7145
Phone number: 877-522-1275
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