OrganizationActive
Icco, LLC
NPI 1982275285 · Rural Health Clinic/Center · Mcminnville, OR
Icco, LLC is a Rural Health Clinic/Center organization in Mcminnville, OR (NPI 1982275285).
Provider details
- NPI number
- 1982275285
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Erica Hauser, Cfo(312) 590-5372
Practice location
1755 Sw Baker St
Mcminnville, OR 97128-9112
Phone: (974) 900-4522
Fax: (971) 900-4503
Street-level locationGet directions
Mailing address
Po Box 4858
Portland, OR 97208-4858
Registry dates
- Enumerated
- 2021-07-07
- Last updated
- 2022-06-29
- Certified
- 2022-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.