Organization · Type 2 NPI
Ideal Option, PLC
Addiction Medicine (Family Medicine) Physician · Kennewick, WA
NPI number
1366993958
Active
Practice location
8524 W Gage Blvd, Ste A160
Kennewick, WA 99336-8241
Fax (509) 491-3031
Mailing address
8656 W Gage Blvd, Siute 301B
Kennewick, WA 99336-7145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
About NPI 1366993958
Ideal Option, PLC's National Provider Identifier is 1366993958, issued on Oct 18, 2016. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Kennewick, WA. The record was last updated on Aug 30, 2023.