Ideal Option, Pllc

LBN: Ideal Option, Pllc
Ideal Option, Pllc is an health care organization with primary practice located at 9735 Sw Shady Ln Ste 103 , Tigard OR 97223-5481. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Ideal Option, Pllc can be contacted via phone (877) 522-1275, or through Dawson, Brian Jefferson via phone (509) 222-1275.

Contact Information

Primary practice address
9735 Sw Shady Ln Ste 103 Tigard OR 97223-5481
Phone: (877) 522-1275
Fax: (509) 491-3031
Website:
Map and Directions
Authorized official contact:
Name: Dawson, Brian Jefferson Doctor of Medicine (MD)
Phone: (509) 222-1275

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Oregon

Profile Details

NPI number 1780199679
LBN Legal business name Ideal Option, Pllc
DBA Doing business as
Authorized official Dawson, Brian Jefferson Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2017
Last updated Aug 30th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780199679 NPPES
Oregon MEDICAID 500698482

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