| Icco, Llc | |
|
355 W 3rd Ave Junction City OR 97448-1313 | |
| (458) 215-2189 | |
| Not Available |
| Full Name | Icco, Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 355 W 3rd Ave, Junction City, Oregon |
| Authorized Official Name and Position | Erica Hauser (CFO) |
| Authorized Official Contact | 3125905372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icco, Llc Po Box 4858 Portland OR 97208-4858 Ph: () - | Icco, Llc 355 W 3rd Ave Junction City OR 97448-1313 Ph: (458) 215-2189 |
| NPI Number | 1649886441 |
|---|---|
| Provider Enumeration Date | 09/17/2020 |
| Last Update Date | 06/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649886441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |