Icco, LLC
NPI #1518990621 in Veneta, Oregon
Provider Information
- NPI Number
- 1518990621
- Entity Type
- Organization
- Organization Name
- Icco, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 9, 2006
- Last Updated
- Aug 1, 2016
Practice Location
Authorized Official
- Name
- MEGAN M HENNEMAN
- Title
- BILLING CLERK
- Phone
- (541) 935-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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