Graduated: 2023
NPI: 1205603644
Practice Locations (4)
ICCO LLC
186 W ELLENDALE AVE
DALLAS, OR 973381408
5416407625
ICCO LLC
3737 SHASTA WAY, SUITE A
KLAMATH FALLS, OR 976034982
5416407625
ICCO LLC
3400 COOPERATIVE WAY
LEBANON, OR 973553984
5416407625
ICCO LLC
2920 COMMERCIAL ST SE
SALEM, OR 973024552
9713014919
Source: CMS National Downloadable File, September 2026.