Icco LLC

NPI #1740896547 in Florence, Oregon

Provider Information

NPI Number
1740896547
Entity Type
Organization
Organization Name
Icco LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Sep 17, 2020
Last Updated
Jun 29, 2022

Practice Location

Address
4480 HIGHWAY 101 STE G
State
Oregon
ZIP Code
97439-8831
Phone
(458) 215-2185

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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