# ICCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Roseburg Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528498995
- **Authorized official:** ALEXANDER K MORLEY MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (541) 636-3473

## Contact information

- **Practice address:** 1740 NW GOETZ ST, ROSEBURG, OR 97471-1613
- **Practice address phone:** (541) 345-8760
- **Practice address fax:** (541) 345-8763
- **Mailing address:** 1292 HIGH ST, SUITE \#224, EUGENE, OR 97401-3238
- **Mailing address phone:** (541) 636-3473
- **Mailing address fax:** (541) 636-3480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | OR | Yes |

## Other

- **Enumeration date:** 11/20/2013
- **Last updated:** 11/20/2013
