Icco LLC

NPI #1700251154 in Eugene, Oregon

Provider Information

NPI Number
1700251154
Entity Type
Organization
Organization Name
Icco LLC
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Dec 10, 2015
Last Updated
Dec 10, 2015

Practice Location

Address
1292 HIGH STREET
Address 2
SUITE 224
City
Eugene
State
Oregon
ZIP Code
97401
Phone
(541) 345-8760

Authorized Official

Name
SUSAN LAVERN HUNSUCKER
Title
DIRECTOR OF OPERATIONS
Phone
(541) 521-7222

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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