Graduated: 2002
NPI: 1144393133
Practice Locations (4)
ICCO LLC
1445 GATEWAY BLVD
COTTAGE GROVE, OR 974241224
5419427000
ICCO LLC
1800 COBURG RD
EUGENE, OR 974014995
5413458760
ICCO LLC
598 E 13TH AVE
EUGENE, OR 974014783
5416363473
ICCO LLC
355 W 3RD AVE
JUNCTION CITY, OR 974481313
5419986750
Source: CMS National Downloadable File, September 2026.