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1861989022
IDEAL OPTION, PLLC
GRESHAM, OR
NPI
1861989022
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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
2018-04-13
Last Update Date
2023-08-31
Business Address
IDEAL OPTION, PLLC
1140 NE BURNSIDE RD
GRESHAM, OR 97030-5711
Phone number: 877-522-1275
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Mailing Address
IDEAL OPTION, PLLC
5615 DUNBARTON AVE
PASCO, WA 99301-8216
Phone number: 877-522-1275
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