institution
Icco Llc
Primary Care Clinic/Center in Springfield, Oregon
NPI 1639612880

Icco Llc is a Primary Care Clinic/Center based in Eugene, OR and is specialized in Primary Care. Icco Llc practices in Springfield, OR. The NPI Number for Icco Llc is 1639612880 and holds a License No. (Oregon).

The current practice location address for Icco Llc is 5781 Main Street, Springfield, OR and can be reached out via phone at 541-654-5245 and via fax at 541-844-1801. You can also correspond with Icco Llc through the mailing address at 1292 HIGH STREET, EUGENE, OR - 97401 (mailing address contact number: 541-228-3865).

Location: 5781 Main Street, Springfield, OR, 97401
institution
Provider Profile Details
NPI Number
1639612880
Provider Name
Icco Llc
Credential
Provider Entity Type
Organization
Address
5781 Main Street, Springfield, OR, 97401
Phone Number
541-654-5245
Fax Number
541-844-1801
Provider Enumeration Date
11/21/2016
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
5781 Main Street
City
State
Zip
97478
Phone Number
541-654-5245
Fax Number
541-844-1801
person
Provider Business Mailing Address Details
Address
5781 Main Street
City
State
Zip
97478
Phone Number
541-654-5245
Fax Number
541-844-1801
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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