| Ideal Option, Pllc | |
|
404 Ne Penn Ave Bend OR 97701-4264 | |
| (509) 416-0253 | |
| (833) 888-7145 |
| Full Name | Ideal Option, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 404 Ne Penn Ave, Bend, Oregon |
| Authorized Official Name and Position | Brian Jefferson Dawson (CMO) |
| Authorized Official Contact | 5092221275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Option, Pllc 5615 Dunbarton Ave Pasco WA 99301-8216 Ph: (509) 416-0253 | Ideal Option, Pllc 404 Ne Penn Ave Bend OR 97701-4264 Ph: (509) 416-0253 |
| NPI Number | 1659835106 |
|---|---|
| Provider Enumeration Date | 01/29/2019 |
| Last Update Date | 08/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659835106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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