Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2016
NPI: 1093193831
Practice Locations (4)
ICCO LLC
598 E 13TH AVE
EUGENE, OR 974014783
5416363473
ICCO LLC
355 W 3RD AVE
JUNCTION CITY, OR 974481313
5419986750
ALLERGY AND ASTHMA CENTER OF SOUTHERN OREGON, PC
2628 CLOVER ST
KLAMATH FALLS, OR 976011132
5418581003
ICCO LLC
3737 SHASTA WAY, SUITE A
KLAMATH FALLS, OR 976034982
5416407625
Source: CMS National Downloadable File, September 2026.