Icco, Llc

Specialty details in registry · Dallas, OR

Call (971) 900-4984 Directions

At a glance

186 W Ellendale Ave, Dallas, OR 97338-1408

NPPES record updated Jun 29, 2022. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

186 W Ellendale Ave
Dallas, OR 97338-1408

Professional details: NPI, taxonomy & registry record

NPI1619558640

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QR1300X
Enumeration date: Apr 20, 2021
Record updated: Jun 29, 2022

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QR1300X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

186 W Ellendale Ave
Dallas, OR 97338-1408

Phone: (971) 900-4984
Fax: (971) 900-4977

Mailing address

PO BOX 4858

PORTLAND, OR 972084858

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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