Icco, LLC
Icco, LLC is a healthcare organization registered as Family Medicine Physician in Veneta, OR, holding Type 2 (organization) NPI 1518990621 since 2006. The authorized official on file is Megan Henneman, Billing Clerk.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1518990621 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Icco, LLC |
| Other name | <Unavail> |
| Practice address | 87983 TERRITORIAL RD, Veneta, OR, 97487 |
| Phone | 5419352200 |
| Fax | 5419356241 |
| Enumeration date | 2006-07-09 |
| Last updated in NPPES | 2016-08-01 |
Authorized official
| Name | Megan Henneman |
|---|---|
| Title | Billing Clerk |
| Phone | 5419352200 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054077 | Medicaid | OR | — |
Copy-ready billing details
Provider: Icco, LLC NPI: 1518990621 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 87983 TERRITORIAL RD, Veneta, OR, 97487
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1437166352 | Charles Roberts | Individual | Physician Assistant | Veneta, OR |
| 1841583721 | Francis Kovac | Individual | Family Nurse Practitioner | Veneta, OR |
| 1164837134 | Austin Skelton | Individual | Family Nurse Practitioner | Veneta, OR |
| 1952701518 | Matthew Shaw | Individual | Family Medicine Physician | Veneta, OR |
| 1750800702 | Michelle Ames | Individual | Massage Therapist | Veneta, OR |
| 1285440446 | G Street Integrated Health | Organization | Rural Health Clinic/Center | Veneta, OR |
Verify this record
Cross-check NPI 1518990621 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
Who is the authorized official for Icco, LLC?
What is the NPI number for Icco, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-08-01.