Organization · Type 2 NPI

Icco LLC

Clinic/Center · Cottage Grove, OR

NPI number 1750492906 Active

Practice location

1445 Gateway Blvd
Cottage Grove, OR 97424-1224

Call (541) 942-7000 Map

Fax (541) 942-5550

Mailing address

1292 High Street, Suite 224
Eugene, OR 97401

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XMD25942 (OR)
Clinic/Center 261Q00000XPA00462 (OR)
Clinic/Center 261Q00000XMD10106 (OR)
Clinic/Center 261Q00000XPA01017 (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).

11 other providers at this address

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About NPI 1750492906

Icco LLC's National Provider Identifier is 1750492906, issued on Aug 31, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Cottage Grove, OR. The record was last updated on Jun 16, 2018.