Organization
ICCO LLC
Active
Other names
Harrisburg Medical Clinic, Nova Health Harrisburg
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS D BAILEY M.D. (MEDICAL DIRECTOR HARRISBURG CLINIC)
(541) 998-6750
Entity
Organization
Contact information
Practice address
420 SMITH ST, HARRISBURG, OR 97446
(541) 995-5266
(541) 995-5245
Mailing address
1292 HIGH ST, SUITE 224, EUGENE, OR 97401-3238
(541) 641-6053
(541) 485-9987
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
OR
261QU0200X
Urgent Care Clinic/Center
—
OR
Other
Enumeration date
06/16/2016
Last updated
06/13/2019
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