Ideal Option, Pllc

NPI #1780199679 in Tigard, Oregon

Provider Information

NPI Number
1780199679
Entity Type
Organization
Organization Name
Ideal Option, Pllc
Primary Specialty
Clinic/Center
Enumeration Date
Dec 13, 2017
Last Updated
Aug 30, 2023

Practice Location

Address
9735 SW SHADY LN STE 103
City
Tigard
State
Oregon
ZIP Code
97223-5481
Phone
(877) 522-1275

Authorized Official

Name
BRIAN JEFFERSON DAWSON, MD
Title
CMO
Phone
(509) 222-1275

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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