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Icco, Llc
Rural Health Clinic/Center in North Bend, Oregon
NPI 1811570187

Icco, Llc is a Rural Health Clinic/Center based in Portland, OR and is specialized in Rural Health. Icco, Llc practices in North Bend, OR. The NPI Number for Icco, Llc is 1811570187 and holds a License No. (Oregon).

The current practice location address for Icco, Llc is 1226 Virginia Ave, North Bend, OR and can be reached out via phone at 541-305-4224 and via fax at 541-998-4571.

Location: 1226 Virginia Ave, North Bend, OR, 97208-4858
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811570187
Provider Name
Icco, Llc
Credential
Provider Entity Type
Organization
Address
1226 Virginia Ave, North Bend, OR, 97208-4858
Phone Number
541-305-4224
Fax Number
541-998-4571
Provider Enumeration Date
05/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1226 Virginia Ave
City
North Bend
State
Oregon
Zip
97459-2716
Phone Number
541-305-4224
Fax Number
541-998-4571
person
Provider Business Mailing Address Details
Address
1226 Virginia Ave
City
North Bend
State
Oregon
Zip
97459-2716
Phone Number
541-305-4224
Fax Number
541-998-4571
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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