Icco LLC
NPI #1750492906 in Cottage Grove, Oregon
Provider Information
- NPI Number
- 1750492906
- Entity Type
- Organization
- Organization Name
- Icco LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 1445 GATEWAY BLVD
- City
- Cottage Grove
- State
- Oregon
- ZIP Code
- 97424-1224
- Phone
- (541) 942-7000
Authorized Official
- Name
- ALEXANDER K MORLEY, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (541) 641-6053
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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