OrganizationActive
Icco LLC
NPI 1205990041 · Clinic/Center · Oakridge, OR
Icco LLC is a Clinic/Center organization in Oakridge, OR (NPI 1205990041).
Provider details
- NPI number
- 1205990041
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Douglas Bailey, Medical Director - Primary Care(541) 782-4068
- License
- 8928878 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
48134 Hwy 58
Oakridge, OR 97463
Phone: (541) 782-4068
Fax: (541) 782-4113
Approximate (ZIP-level) locationGet directions
Mailing address
1292 High Street
Eugene, OR 97401
Other names (DBA / former)
- Doing business as
- Five Rivers Family Practice
- Doing business as
- Five Rivers Family Practice
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2019-07-16
Frequently asked questions
- What is Icco LLC's NPI number?
- Icco LLC's National Provider Identifier (NPI) is 1205990041, 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 Clinic/Center (Ambulatory Health Care Facilities).
- Where is Icco LLC located?
- Icco LLC's practice location on file with NPPES is 48134 Hwy 58, Oakridge, OR 97463.
- What is Icco LLC's phone number?
- The practice phone number listed in the NPPES registry for Icco LLC is (541) 782-4068.
- Who is the authorized official for Icco LLC?
- The authorized official listed on Icco LLC's NPPES record is Douglas Bailey, Medical Director - Primary Care. 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 (1205990041) is active in the NPPES registry as of the last update on 2019-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.