Graduated: 1993
NPI: 1669413340
Practice Locations (6)
ICCO LLC
598 E 13TH AVE
EUGENE, OR 974014783
5416363473
OREGON HEALTHCARE RESOURCES LLC
600 COUNTRY CLUB RD
EUGENE, OR 974012240
5413450600
OREGON HEALTHCARE RESOURCES LLC
600 COUNTRY CLUB RD, SUITE 100
EUGENE, OR 974012240
5414632390
ICCO LLC
1841 E BARNETT RD
MEDFORD, OR 975048249
5412167291
ICCO LLC
1740 NW GOETZ ST
ROSEBURG, OR 974711613
5416724885
OREGON HEALTHCARE RESOURCES LLC
2000 N 19TH ST
SPRINGFIELD, OR 974772526
5417465437
Source: CMS National Downloadable File, September 2026.