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Icco Llc
Rural Health Clinic/Center in Florence, Oregon
NPI 1740896547

Icco Llc is a Rural Health Clinic/Center based in Portland, OR and is specialized in Rural Health. Icco Llc practices in Florence, OR. The NPI Number for Icco Llc is 1740896547 and holds a License No. (Oregon).

The current practice location address for Icco Llc is 4480 Highway 101 Ste G, Florence, OR and can be reached out via phone at 458-215-2185.

Location: 4480 Highway 101 Ste G, Florence, OR, 97208-4858
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740896547
Provider Name
Icco Llc
Credential
Provider Entity Type
Organization
Address
4480 Highway 101 Ste G, Florence, OR, 97208-4858
Phone Number
458-215-2185
Fax Number
Provider Enumeration Date
09/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4480 Highway 101 Ste G
City
Florence
State
Oregon
Zip
97439-8831
Phone Number
458-215-2185
Fax Number
person
Provider Business Mailing Address Details
Address
4480 Highway 101 Ste G
City
Florence
State
Oregon
Zip
97439-8831
Phone Number
458-215-2185
Fax Number
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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