Icco, LLC

Icco, LLC is a healthcare organization registered as Rural Health Clinic/Center in Lebanon, OR, holding Type 2 (organization) NPI 1104490887 since 2021. The authorized official on file is Erica Hauser, Cfo.

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NPI	1104490887
Entity type	Organization (Type 2)
Legal business name	Icco, LLC
Other name	<Unavail>
Practice address	3400 COOPERATIVE WAY, Lebanon, OR, 97355
Phone	5416663305
Fax	5416663306
Enumeration date	2021-05-17
Last updated in NPPES	2022-06-20

Authorized official

Name	Erica Hauser
Title	Cfo
Phone	3125905372

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QR1300X	Rural Health Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Icco, LLC
NPI: 1104490887
Taxonomy: 261QR1300X (Rural Health Clinic/Center)
Address: 3400 COOPERATIVE WAY, Lebanon, OR, 97355

Providers at this address

NPI	Name	Type	Specialty	Location
1649206566	Ricky Parrish	Individual	Physician Assistant	Lebanon, OR
1093527418	Jessica Tower	Individual	Family Nurse Practitioner	Lebanon, OR

Verify this record

Cross-check NPI 1104490887 against the authoritative CMS record: view Icco, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-06-20. Verify at npiregistry.cms.hhs.gov.

Where is Icco, LLC located?

The practice location on file with NPPES is in Lebanon, OR.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-06-20.