Organization · Type 2 NPI
Icco, LLC
Rural Health Clinic/Center · Cottage Grove, OR
NPI number
1336725233
Active
Practice location
1445 Gateway Blvd
Cottage Grove, OR 97424-1224
Fax (541) 998-4571
Mailing address
PO Box 4858
Portland, OR 97208-4858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
11 other providers at this address
- Covered Bridge Physical Therapy LLCPhysical Therapy Clinic/Center Cottage Grove, OR NPI 1609068998
- Icco LLCClinic/Center Cottage Grove, OR NPI 1750492906
- Denise E. Rigo, NPFamily Nurse Practitioner Cottage Grove, OR NPI 1285726422
- Diana L. V. Knee, LCSWClinical Social Worker Cottage Grove, OR NPI 1407872815
- Irene R. Wolf, DNP, APRN, FNP-CFamily Nurse Practitioner Cottage Grove, OR NPI 1023443173
- Judith Dolene Stensland, FNPFamily Medicine Physician Cottage Grove, OR NPI 1225001720
- Larry Arthur Jackson, MDFamily Medicine Physician Cottage Grove, OR NPI 1578880548
- Nancy J. Worley, PTPhysical Medicine & Rehabilitation Physician Cottage Grove, OR NPI 1093714701
- Roopa Mukund, PA-CMedical Physician Assistant Cottage Grove, OR NPI 1982172946
- Thomas A. Firth, MDInternal Medicine Physician Cottage Grove, OR NPI 1215936661
- William Vogel, PA-CPhysician Assistant Cottage Grove, OR NPI 1932281656
About NPI 1336725233
Icco, LLC's National Provider Identifier is 1336725233, issued on Mar 22, 2021. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Cottage Grove, OR. The record was last updated on Jun 29, 2022.