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Icco, Llc
Rural Health Clinic/Center in Mcminnville, Oregon
NPI 1982275285

Icco, Llc is a Rural Health Clinic/Center based in Portland, OR and is specialized in Rural Health. Icco, Llc practices in Mcminnville, OR. The NPI Number for Icco, Llc is 1982275285 and holds a License No. (Oregon).

The current practice location address for Icco, Llc is 1755 Sw Baker St, Mcminnville, OR and can be reached out via phone at 974-900-4522 and via fax at 971-900-4503.

Location: 1755 Sw Baker St, Mcminnville, OR, 97208-4858
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982275285
Provider Name
Icco, Llc
Credential
Provider Entity Type
Organization
Address
1755 Sw Baker St, Mcminnville, OR, 97208-4858
Phone Number
974-900-4522
Fax Number
971-900-4503
Provider Enumeration Date
07/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1755 Sw Baker St
City
Mcminnville
State
Oregon
Zip
97128-9112
Phone Number
974-900-4522
Fax Number
971-900-4503
person
Provider Business Mailing Address Details
Address
1755 Sw Baker St
City
Mcminnville
State
Oregon
Zip
97128-9112
Phone Number
974-900-4522
Fax Number
971-900-4503
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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