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Icco, LLC

Rural Health Clinic/Center in Woodburn, OR · enumerated 2021 · authorized official Erica Hauser, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255902557

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Registry record

Entity type Organization (Type 2)
Legal business name Icco, LLC
Other name <Unavail>
Practice address 2902 Tom Tennant Dr, Woodburn, OR, 97071
Phone (971) 345-4767
Fax (971) 345-4769
Enumeration date Jul 7, 2021
Last updated in NPPES Jun 20, 2022

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Erica Hauser
Title Cfo
Phone (312) 590-5372

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.

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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 Woodburn, OR.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-20.