Organization · Type 2 NPI
Icco LLC
Primary Care Clinic/Center · Eugene, OR
NPI number
1235672478
Active
Practice location
2710 Willamette Street
Eugene, OR 97405
Fax (541) 505-7486
Mailing address
PO Box 4858
Portland, OR 97208-4858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1235672478
Icco LLC's National Provider Identifier is 1235672478, issued on Nov 21, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Eugene, OR. The record was last updated on Jun 20, 2022.