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

Address
87983 TERRITORIAL RD
City
Veneta
State
Oregon
ZIP Code
97487
Phone
(541) 935-2200

Authorized Official

Name
MEGAN M HENNEMAN
Title
BILLING CLERK
Phone
(541) 935-2200

Specialties & Taxonomy Codes

Specialty
Family Medicine

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