Organization · Type 2 NPI
Icco, LLC
Clinic/Center · Veneta, OR
NPI number
1083159503
Active
Practice location
25045 Dunham Avenue
Veneta, OR 97487
Mailing address
PO Box 819, 25045 Dunham Avenue
Veneta, OR 97487-0819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
About NPI 1083159503
Icco, LLC's National Provider Identifier is 1083159503, issued on Dec 20, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Veneta, OR. The record was last updated on Jun 20, 2022.