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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.

Location: 3400 Cooperative Way, Lebanon, OR, 97208-4858
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Lebanon
State
Oregon
Zip
97355-4063
Phone Number
541-666-3305
Fax Number
541-666-3306
person
Provider Business Mailing Address Details
Address
3400 Cooperative Way
City
Lebanon
State
Oregon
Zip
97355-4063
Phone Number
541-666-3305
Fax Number
541-666-3306
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
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