Organization
ICCO, LLC
Active
Other names
Prime Care Partners Veneta, BestMed
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER OCKER (ADMINISTRATOR)
(541) 935-2200
Entity
Organization
Contact information
Practice address
25045 DUNHAM AVENUE, VENETA, OR 97487
(541) 935-2035
Mailing address
PO BOX 819, 25045 DUNHAM AVENUE, VENETA, OR 97487-0819
(541) 935-2035
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2016
Last updated
06/20/2022
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