Organization · Type 2 NPI

Icco, LLC

Rural Health Clinic/Center · Lebanon, OR

NPI number 1104490887 Active

Practice location

3400 Cooperative Way
Lebanon, OR 97355-4063

Call (541) 666-3305 Map

Fax (541) 666-3306

Mailing address

PO Box 4858
Portland, OR 97208-4858

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300XNone listed

Rural Health Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1104490887

Icco, LLC's National Provider Identifier is 1104490887, issued on May 17, 2021. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Lebanon, OR. The record was last updated on Jun 20, 2022.