Icco, LLC
NPI #1336725233 in Cottage Grove, Oregon
Provider Information
- NPI Number
- 1336725233
- Entity Type
- Organization
- Organization Name
- Icco, LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Mar 22, 2021
- Last Updated
- Jun 29, 2022
Practice Location
- Address
- 1445 GATEWAY BLVD
- City
- Cottage Grove
- State
- Oregon
- ZIP Code
- 97424-1224
- Phone
- (541) 942-7000
Authorized Official
- Name
- ERICA HAUSER
- Title
- DIRECTOR
- Phone
- (312) 590-5372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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