Organization · Type 2 NPI
Icco, LLC
Rural Health Clinic/Center · North Bend, OR
NPI number
1811570187
Active
Practice location
1226 Virginia Ave
North Bend, OR 97459-2716
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...
2 other providers at this address
Other rural health clinic/center providers in North Bend
About NPI 1811570187
Icco, LLC's National Provider Identifier is 1811570187, issued on May 4, 2021. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in North Bend, OR. The record was last updated on Jun 29, 2022.