Organization

Ideal Option Pllc

Clinic/Center in Springfield, OR(View on Map)

Legal Business Name

Ideal Option Pllc

NPI Number

1821712118

NPI Type

Organization

Enumeration Date

09/29/2022

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

5615 DUNBARTON AVE
3831 MAIN ST STE 108

City

Pasco
Springfield

State

WA
OR

Postal Code

99301-8216
97478-5801

Country

US
US

Telephone Number

(509) 570-9302
(877) 522-1275

Authorized Official

Name

Brian Dawson

Title or Position

CMO

Telephone Number

(509) 222-1275

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/31/2023

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