Organization

Icco, Llc

May also be knows as Prime Care Partners Veneta

Clinic/Center in Veneta, OR(View on Map)

Legal Business Name

Icco, Llc

Also Known As

Prime Care Partners Veneta

NPI Number

1083159503

NPI Type

Organization

Enumeration Date

12/20/2016

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 819
25045 DUNHAM AVENUE

City

Veneta
Veneta

State

OR
OR

Postal Code

97487-0819
97487

Country

US
US

Telephone Number

(541) 935-2035
(541) 935-2035

Authorized Official

Name

Jennifer Ocker

Title or Position

ADMINISTRATOR

Telephone Number

(541) 935-2200

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/20/2022

Provider Address