ICCO LLC (NPI# 1063806842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063806842 |
| Entity Type | Organization |
| Organization Name | ICCO LLC |
| Practice Address |
35859 Highway 58 Pleasant Hill OR 97455-9651 |
| Mailing Address |
1292 High St Suite 224 Eugene OR 97401-3238 |
| Practice Telephone | 5413458760 |
| Practice Fax Number | 5413458763 |
| Mailing Telephone | 5416363473 |
| Mailing Fax Number | 5416366480 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | ALEXANDER K MORLEY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5419887300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
OR | Ambulatory Health Care Facilities | |
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pleasant Hill Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922541184 | Icco LLC | Clinic/Center | 35859 Hwy 58, Pleasant Hill, OR 97455 | 2016-11-21 |
| 1639612880 | Icco LLC | Clinic/Center | 5781 Main Street, Springfield, OR 97478 | 2016-11-21 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1235672478 | Icco LLC | Clinic/Center | 2710 Willamette Street, Eugene, OR 97405 | 2016-11-21 |
| 1922458371 | Icco LLC | Clinic/Center | 420 Smith St, Harrisburg, OR 97446 | 2016-06-16 |
| 1578928818 | Icco LLC | Clinic/Center | 1800 Coburg Road, Eugene, OR 97401 | 2015-12-30 |
| 1700251154 | Icco LLC | Physician Assistant | 1292 High Street, Suite 224, Eugene, OR 97401 | 2015-12-10 |
| 1740896547 | Icco LLC | Clinic/Center | 4480 Highway 101 Ste G, Florence, OR 97439-8831 | 2020-09-17 |
| 1649886441 | Icco LLC | Clinic/Center | 355 W 3rd Ave, Junction City, OR 97448-1313 | 2020-09-17 |
| 1821413881 | Icco LLC | Clinic/Center | 2710 Willamette St, Eugene, OR 97405-3238 | 2014-02-27 |
| Street Address |
35859 HIGHWAY 58 |
| City | PLEASANT HILL |
| State | OR |
| Zip Code | 97455-9651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649248139 | Lyle R Torguson | Family Medicine | 35859 Highway 58, Pleasant Hill, OR 97455-9651 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194387969 | Pleasant Hill Chiropractic | Chiropractor | 35835 Highway 58, Pleasant Hill, OR 97455 | 2019-07-02 |
| 1689151920 | Melissa Rice | Nurse Practitioner | 35859 Or-58, Pleasant Hill, OR 97455 | 2018-07-19 |
| 1922541184 | Icco LLC | Clinic/Center | 35859 Hwy 58, Pleasant Hill, OR 97455 | 2016-11-21 |
| 1891172433 | Julie L Boffing | Pharmacist | 85708 Parkway Road, Pleasant Hill, OR 97455 | 2015-05-04 |
| 1780849893 | Kimberly G Metzler | Massage Therapist | 84889 Tillicum Road, Suite #11, Pleasant Hill, OR 97455 | 2008-07-29 |
| 1316288012 | Stephanie Lynn Burns | Massage Therapist | 84568 N Enterprise Rd, Pleasant Hill, OR 97455-9608 | 2013-03-06 |
| 1356724710 | David Harries | Massage Therapist | 85070 Kensington Dr, Pleasant Hill, OR 97455-9621 | 2015-07-02 |
| 1467783761 | Elliott Pedorthic Care LLC | Prosthetic/Orthotic Supplier | 85084 Kensington Dr, Pleasant Hill, OR 97455-9621 | 2010-01-26 |
| 1780937847 | Michelle Spresser | Registered Nurse | 84491 Parkway Rd, Pleasant Hill, OR 97455-9628 | 2012-10-25 |
| 1861533697 | Susan Terry Schloss | Counselor | 36565 Star Rd, Pleasant Hill, OR 97455-9629 | 2007-02-12 |
| Find all providers in zip 97455 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794637 | Praxis Medical Group Inc | Clinic/Center | 2011 4th Street, La Grande, OR 97850 | 2020-09-09 |
| 1821620402 | Praxis Medical Group Inc | Clinic/Center | 2215 Nw Shevlin Park Road, Suite 100, Bend, OR 97703-7195 | 2020-02-11 |
| 1952812687 | Mend Clinic LLC | Clinic/Center | 2936 Commercial St Se, Salem, OR 97302-4552 | 2017-10-20 |
| 1407308125 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 3449 N Anchor Street, Ste 300a, Portland, OR 97217 | 2016-10-28 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1215388145 | Family Choice Urgent Care LLC | Clinic/Center | 108 Nw Sisemore St, Suite 120, Bend, OR 97703-2869 | 2016-06-22 |
| 1922458371 | Icco LLC | Clinic/Center | 420 Smith St, Harrisburg, OR 97446 | 2016-06-16 |
| 1710349477 | Uptown Providers PC | Clinic/Center | 14284 Sw Allen Blvd, Beaverton, OR 97005-4405 | 2016-03-22 |
| 1790188043 | Emurgent Care LLC | Clinic/Center | 109b E Ellendale Ave, Dallas, OR 97338-1794 | 2014-10-01 |
| 1134563620 | Uptown Providers Inc | Clinic/Center | 7033 Ne Sandy Blvd, Portland, OR 97213 | 2013-04-26 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT HILL |
| Zip Code | 97455 |
Please comment or provide details below to improve the information on ICCO LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.