Organization
ICCO, LLC
Active
Other names
BestMed
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA HAUSER (CFO)
(312) 590-5372
Entity
Organization
Contact information
Practice address
1226 VIRGINIA AVE, NORTH BEND, OR 97459-2716
(541) 305-4224
(541) 998-4571
Mailing address
PO BOX 4858, PORTLAND, OR 97208-4858
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
06/29/2022
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