OrganizationActive
Icco LLC
NPI 1053854208 · Primary Care Clinic/Center · Roseburg, OR
Provider details
- NPI number
- 1053854208
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Peggy Anderson, Billing Manager(541) 672-4885
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1740 Nw Goetz Street
Roseburg, OR 97471
Phone: (541) 672-4885
Fax: (541) 672-4782
Street-level locationGet directions
Mailing address
1292 High Street
Eugene, OR 97401
Other names (DBA / former)
- Doing business as
- Bestmed
Registry dates
- Enumerated
- 2016-11-21
- Last updated
- 2022-06-20
- Certified
- 2022-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.