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)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