DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ICCO LLC

Active Organization

ICCO LLC is a Primary Care Clinic organization located in ROSEBURG, Oregon. NPI 1053854208 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · ROSEBURG, OR

Registration Details

NPI Number
1053854208
Provider Type
Organization
NPI Issued
Nov 21, 2016 (9.7115412976461 yrs)
Last Updated
Jun 20, 2022

Practice Information

Address
1740 NW GOETZ STREET
ROSEBURG, OR, 97471
Browse OR providers · Browse ZIP 97471
Phone
5416724885
Fax
5416724782
Primary Specialty
Primary Care Clinic
261QP2300X

Other Primary Care Clinic Organizations in ROSEBURG, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.