institution
Icco Llc
Primary Care Clinic/Center in Eugene, Oregon
NPI 1578928818

Icco Llc is a Primary Care Clinic/Center based in Eugene, OR and is specialized in Primary Care. Icco Llc practices in Eugene, OR. The NPI Number for Icco Llc is 1578928818 and holds a License No. (Oregon).

The current practice location address for Icco Llc is 1800 Coburg Road, Eugene, OR and can be reached out via phone at 541-255-3233 and via fax at 541-255-2452.

Location: 1800 Coburg Road, Eugene, OR, 97401
institution
Provider Profile Details
NPI Number
1578928818
Provider Name
Icco Llc
Credential
Provider Entity Type
Organization
Address
1800 Coburg Road, Eugene, OR, 97401
Phone Number
541-255-3233
Fax Number
541-255-2452
Provider Enumeration Date
12/30/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DP1360 01 OR RR MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1800 Coburg Road
City
State
Zip
97401
Phone Number
541-255-3233
Fax Number
541-255-2452
person
Provider Business Mailing Address Details
Address
1800 Coburg Road
City
State
Zip
97401
Phone Number
541-255-3233
Fax Number
541-255-2452
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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