OrganizationActive
Icco, LLC
NPI 1194390385 · Rural Health Clinic/Center · Roseburg, OR
Provider details
- NPI number
- 1194390385
- 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(62/100 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
780 Nw Garden Valley Blvd Ste 310
Roseburg, OR 97471-2298
Phone: (541) 672-4885
Fax: (541) 998-4571
Street-level locationGet directions
Mailing address
Po Box 4858
Portland, OR 97208-4858
Other names (DBA / former)
- Doing business as
- Bestmed
Registry dates
- Enumerated
- 2021-05-21
- 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.