institution
Icco, Llc
Rural Health Clinic/Center in Lebanon, Oregon
NPI 1104490887

Icco, Llc is a Rural Health Clinic/Center based in Portland, OR and is specialized in Rural Health. Icco, Llc practices in Lebanon, OR. The NPI Number for Icco, Llc is 1104490887 and holds a License No. (Oregon).

The current practice location address for Icco, Llc is 3400 Cooperative Way, Lebanon, OR and can be reached out via phone at 541-666-3305 and via fax at 541-666-3306. You can also correspond with Icco, Llc through the mailing address at PO BOX 4858, PORTLAND, OR - 97208-4858 (mailing address contact number: 541-500-2555).

Location: 3400 Cooperative Way, Lebanon, OR, 97208-4858
institution
Provider Profile Details
NPI Number
1104490887
Provider Name
Icco, Llc
Credential
Provider Entity Type
Organization
Address
3400 Cooperative Way, Lebanon, OR, 97208-4858
Phone Number
541-666-3305
Fax Number
541-666-3306
Provider Enumeration Date
05/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3400 Cooperative Way
City
State
Zip
97355-4063
Phone Number
541-666-3305
Fax Number
541-666-3306
person
Provider Business Mailing Address Details
Address
Po Box 4858
City
State
Zip
97208-4858
Phone Number
541-500-2555
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
()
Definition
Definition to come...
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