Icco, LLC
NPI #1811570187 in North Bend, Oregon
Provider Information
- NPI Number
- 1811570187
- Entity Type
- Organization
- Organization Name
- Icco, LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- May 4, 2021
- Last Updated
- Jun 29, 2022
Practice Location
- Address
- 1226 VIRGINIA AVE
- City
- North Bend
- State
- Oregon
- ZIP Code
- 97459-2716
- Phone
- (541) 305-4224
Authorized Official
- Name
- ERICA HAUSER
- Title
- CFO
- Phone
- (312) 590-5372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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