Organization · Type 2 NPI
Ideal Option, PLLC
Clinic/Center · Gresham, OR
NPI number
1861989022
Active
Practice location
1140 NE Burnside Rd
Gresham, OR 97030-5711
Fax (509) 491-3031
Mailing address
5615 Dunbarton Ave
Pasco, WA 99301-8216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1861989022
Ideal Option, PLLC's National Provider Identifier is 1861989022, issued on Apr 13, 2018. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Gresham, OR. The record was last updated on Aug 31, 2023.