Icco, LLC

NPI #1619558640 in Dallas, Oregon

Provider Information

NPI Number
1619558640
Entity Type
Organization
Organization Name
Icco, LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Apr 20, 2021
Last Updated
Jun 29, 2022

Practice Location

Address
186 W ELLENDALE AVE
City
Dallas
State
Oregon
ZIP Code
97338-1408
Phone
(971) 900-4984

Authorized Official

Name
ERICA HAUSER
Title
CFO
Phone
(312) 590-5372

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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