Ideal Option, Pllc

NPI #1861989022 in Gresham, Oregon

Provider Information

NPI Number
1861989022
Entity Type
Organization
Organization Name
Ideal Option, Pllc
Primary Specialty
Clinic/Center
Enumeration Date
Apr 13, 2018
Last Updated
Aug 31, 2023

Practice Location

Address
1140 NE BURNSIDE RD
State
Oregon
ZIP Code
97030-5711
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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