Icco LLC
Icco LLC is a healthcare organization registered as Clinic/Center in Cottage Grove, OR, holding Type 2 (organization) NPI 1750492906 since 2006. The authorized official on file is Alexander Morley, Medical Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1750492906 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Icco LLC |
| Other name | <Unavail> |
| Practice address | 1445 GATEWAY BLVD, Cottage Grove, OR, 97424 |
| Phone | 5419427000 |
| Fax | 5419425550 |
| Enumeration date | 2006-08-31 |
| Last updated in NPPES | 2018-06-16 |
Authorized official
| Name | Alexander Morley |
|---|---|
| Title | Medical Director |
| Phone | 5416416053 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Secondary | PA00462 | OR |
| 261Q00000X | Clinic/Center | Secondary | MD10106 | OR |
| 261Q00000X | Clinic/Center | Secondary | PA01017 | OR |
| 261Q00000X | Clinic/Center | Primary | MD25942 | OR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150890 | Medicaid | OR | — |
| 06691900 | Other | OR | BLUE CROSS/BLUE SHIELD |
Copy-ready billing details
Provider: Icco LLC NPI: 1750492906 Taxonomy: 261Q00000X (Clinic/Center) Address: 1445 GATEWAY BLVD, Cottage Grove, OR, 97424
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1093714701 | Nancy Worley | Individual | Physical Medicine & Rehabilitation Physician | Cottage Grove, OR |
| 1215936661 | Thomas Firth | Individual | Internal Medicine Physician | Cottage Grove, OR |
| 1225001720 | Judith Stensland | Individual | Family Medicine Physician | Cottage Grove, OR |
| 1407872815 | Diana Knee | Individual | Clinical Social Worker | Cottage Grove, OR |
| 1285726422 | Denise Rigo | Individual | Family Nurse Practitioner | Cottage Grove, OR |
| 1932281656 | William Vogel | Individual | Physician Assistant | Cottage Grove, OR |
| 1487784443 | Patrick Sarver | Individual | Family Medicine Physician | Cottage Grove, OR |
| 1609068998 | Covered Bridge Physical Therapy LLC | Organization | Physical Therapy Clinic/Center | Cottage Grove, OR |
Verify this record
Cross-check NPI 1750492906 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
What is the NPI number for Icco LLC?
Who is the authorized official for Icco LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-06-16.