NPIMap

Icco, LLC

Organization Active NPI Family Medicine Physician · Eugene, OR

NPI 1992861611 · NPPES record last updated Oct 29, 2025

Key facts

NPI
1992861611
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
ICCO, LLC
Practice address
1800 Coburg Rd
Eugene, OR 97401-4995
Phone
(541) 255-3233
NPI assigned
Dec 28, 2006
Organization subpart
No

Authorized official

Name
Erica Hauser
Title
President
Phone
(337) 202-0720

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 111

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 111

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090218000510 OR Part B Supplier - Clinic/Group Practice 1355406729 Receives reassigned benefits from 316 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bend, OR; Woodburn, OR; Veneta, OR; Springfield, OR; Salem, OR; Roseburg, OR; Redmond, OR; North Bend, OR…

National Provider Directory

Locations

4040 W 11th Ave
Ste B
Eugene, OR 97402
Phone (458) 215-2311

89 Centennial Loop
Eugene, OR 97401
Phone (541) 342-1632

1890 NW 6th St
Grants Pass, OR 97526
Phone (541) 507-0684

1841 E Barnett Rd
Medford, OR 97504
Phone (541) 216-7291

3818 SW 21st St
Ste 100
Redmond, OR 97756
Phone (541) 548-2899

455 Harlow Rd Ste 100
Springfield, OR 97477

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

1800 Coburg Rd
Eugene, OR 97401-4995

Mailing address

1292 High St Ste 224
Eugene, OR 97401-3238
Phone (541) 228-3865

Other practice location 1

3400 Cooperative Way
Lebanon, OR 97355-4063
Phone (541) 666-3305

Other practice location 2

1755 SW Baker St
McMinnville, OR 97128-9112
Phone (971) 900-4522

Other practice location 3

186 W Ellendale Ave
Dallas, OR 97338-1408
Phone (971) 900-4984

Other practice location 4

445 Harlow Rd Ste 100
Springfield, OR 97477-1341
Phone (541) 228-3865

Other practice location 5

598 E 13th Ave
Eugene, OR 97401-4783
Phone (541) 844-0233

Other practice location 6

355 West 3rd Avenue
Junction City, OR 97448
Phone (541) 998-6750

Other practice location 7

1445 Gateway Blvd
Cottage Grove, OR 97424-1224
Phone (541) 942-7000

Other practice location 8

780 NW Garden Valley Blvd Ste 310
Roseburg, OR 97471-2298
Phone (541) 672-4885

Other names

  • BestMed Doing business as
  • Nova Health Primary Care Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 29, 2025.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1992861611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1292 HIGH ST STE 224",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013238",
            "telephone_number": "541-228-3865",
            "fax_number": "541-654-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COBURG RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014995",
            "telephone_number": "541-255-3233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Cooperative Way",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973554063",
            "country_code": "US",
            "telephone_number": "541-666-3305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1755 SW Baker St",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971289112",
            "country_code": "US",
            "telephone_number": "971-900-4522",
            "fax_number": "971-900-4503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "186 W Ellendale Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "OR",
            "postal_code": "973381408",
            "country_code": "US",
            "telephone_number": "971-900-4984",
            "fax_number": "971-900-4977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 Harlow Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974771341",
            "country_code": "US",
            "telephone_number": "541-228-3865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "598 E 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974014783",
            "country_code": "US",
            "telephone_number": "541-844-0233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 West 3rd Avenue",
            "address_purpose": "LOCATION",
            "city": "Junction City",
            "state": "OR",
            "postal_code": "97448",
            "country_code": "US",
            "telephone_number": "541-998-6750",
            "fax_number": "541-998-1247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1445 Gateway Blvd",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "OR",
            "postal_code": "974241224",
            "country_code": "US",
            "telephone_number": "541-942-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 NW Garden Valley Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974712298",
            "country_code": "US",
            "telephone_number": "541-672-4885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ICCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "HAUSER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-202-0720"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BestMed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nova Health Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nova Health Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

All providers in Eugene, OR · Family Medicine Physician in Oregon

Sources for this page

Verify at the official NPI Registry.