Icco, LLC

NPI #1083159503 in Veneta, Oregon

Provider Information

NPI Number
1083159503
Entity Type
Organization
Organization Name
Icco, LLC
Primary Specialty
Clinic/Center
Enumeration Date
Dec 20, 2016
Last Updated
Jun 20, 2022

Practice Location

Address
25045 DUNHAM AVENUE
City
Veneta
State
Oregon
ZIP Code
97487
Phone
(541) 935-2035

Authorized Official

Name
JENNIFER OCKER
Title
ADMINISTRATOR
Phone
(541) 935-2200

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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