| Icco, Llc | |
|
25045 Dunham Avenue Veneta OR 97487 | |
| (541) 935-2035 | |
| Not Available |
| Full Name | Icco, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 25045 Dunham Avenue, Veneta, Oregon |
| Authorized Official Name and Position | Jennifer Ocker (ADMINISTRATOR) |
| Authorized Official Contact | 5419352200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icco, Llc Po Box 819 25045 Dunham Avenue Veneta OR 97487-0819 Ph: (541) 935-2035 | Icco, Llc 25045 Dunham Avenue Veneta OR 97487 Ph: (541) 935-2035 |
| NPI Number | 1083159503 |
|---|---|
| Provider Enumeration Date | 12/20/2016 |
| Last Update Date | 06/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083159503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Icco, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 87983 Territorial Hwy, Veneta, OR 97487 Phone: 541-935-2200 Fax: 541-998-4571 | |
G Street Integrated Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 87983 Territorial Rd, Veneta, OR 97487 Phone: 541-935-6922 Fax: 541-747-9870 | |
Icco, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 87983 Territorial Rd, Veneta, OR 97487 Phone: 541-935-2200 Fax: 541-935-6241 |