Organization · Type 2 NPI
Icco LLC
Clinic/Center · Oakridge, OR
NPI number
1205990041
Active
Practice location
48134 Hwy 58
Oakridge, OR 97463
Fax (541) 782-4113
Mailing address
1292 High Street, Suite 224
Eugene, OR 97401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 8928878 (OR) |
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).
2 other providers at this address
About NPI 1205990041
Icco LLC's National Provider Identifier is 1205990041, issued on Dec 19, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Oakridge, OR. The record was last updated on Jul 16, 2019.