OrganizationActive
Icco, LLC
NPI 1104490887 · Rural Health Clinic/Center · Lebanon, OR
Icco, LLC is a Rural Health Clinic/Center organization in Lebanon, OR (NPI 1104490887).
Provider details
- NPI number
- 1104490887
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Erica Hauser, Cfo(312) 590-5372
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
3400 Cooperative Way
Lebanon, OR 97355-4063
Phone: (541) 666-3305
Fax: (541) 666-3306
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4858
Portland, OR 97208-4858
Other names (DBA / former)
- Doing business as
- Bestmed
Registry dates
- Enumerated
- 2021-05-17
- Last updated
- 2022-06-20
- Certified
- 2022-06-20
Frequently asked questions
- What is Icco, LLC's NPI number?
- Icco, LLC's National Provider Identifier (NPI) is 1104490887, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Icco, LLC?
- Icco, LLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Icco, LLC located?
- Icco, LLC's practice location on file with NPPES is 3400 Cooperative Way, Lebanon, OR 97355-4063.
- What is Icco, LLC's phone number?
- The practice phone number listed in the NPPES registry for Icco, LLC is (541) 666-3305.
- Who is the authorized official for Icco, LLC?
- The authorized official listed on Icco, LLC's NPPES record is Erica Hauser, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Icco, LLC's NPI active?
- Yes — Icco, LLC's NPI (1104490887) is active in the NPPES registry as of the last update on 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.