ICCO LLC
Organization (NPI-2)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1700251154- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1292 HIGH STREET SUITE 224, EUGENE, OR, 97401
- Phone
- (541) 345-8760
- Fax
- (541) 345-8763
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: OR #PA175527