Icco, LLC
NPI #1225609753 in Klamath Falls, Oregon
Provider Information
- NPI Number
- 1225609753
- Entity Type
- Organization
- Organization Name
- Icco, LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jul 6, 2021
- Last Updated
- Jun 20, 2022
Practice Location
- Address
- 3737 SHASTA WAY STE A
- City
- Klamath Falls
- State
- Oregon
- ZIP Code
- 97603-4982
- Phone
- (541) 883-2337
Authorized Official
- Name
- ERICA HAUSER
- Title
- CFO
- Phone
- (312) 590-5372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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