FIVE RIVERS FAMILY PRACTICE
NPI 1205990041
Clinic/Center in Oakridge, OR

Q: What is Icco LLC's NPI number?

The NPI number for Icco LLC is 1205990041. It was assigned to this organization in the NPPES registry on December 19, 2006. The provider is doing business as Five Rivers Family Practice.

Q: What is Icco LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Icco LLC was last updated on July 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 19, 2006

48134 HWY 58, OAKRIDGE, OR 97463(541) 782-4068(541) 782-4113 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2019, Apr 11, 2017 (2 updates tracked since 2017).

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About Five Rivers Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIVE RIVERS FAMILY PRACTICE (NPI 1205990041) is a healthcare organization registered as a clinic/center in Oakridge, Oregon and active in the NPI registry since December 2006. The organization lists Douglas Bailey, Medical Director - Primary Care, as its authorized official.

NPPES Registry Identity

NPI1205990041

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameICCO LLC

Location Address48134 HWY 58Oakridge, OR 97463

Mailing Address1292 High Street, Suite 224Eugene, OR 97401 · (541) 228-3865 · Fax (541) 654-4693

Phone(541) 782-4068

Fax(541) 782-4113

Organization SubpartNo

Authorized OfficialDouglas BaileyMedical Director - Primary Care · (541) 782-4068

Enumeration DateDecember 19, 2006

Last NPPES UpdateJuly 16, 20192 updates tracked since enumeration

✔ NPI 1205990041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in OR · 8928878

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

48134 HWY 58, Oakridge, OR 97463

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Other Names 1

Doing Business AsFive Rivers Family Practice

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANS EDWIN WEIH PA

Physician Assistant (Medical)

48134 HWY 58
OAKRIDGE, OR 97463

Lane County (541) 782-4068

MICHAEL M POWELL D.C.

Chiropractor

48134 HWY 58
OAKRIDGE, OR 97463

Lane County (541) 782-4068

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Icco LLC's NPI number?

The NPI number for Icco LLC is 1205990041. It was assigned to this organization in the NPPES registry on December 19, 2006. The provider is doing business as Five Rivers Family Practice.

Where is Icco LLC located?

Icco LLC is located at 48134 Hwy 58, Oakridge, OR 97463. The listed phone number is (541) 782-4068.

What is Icco LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Icco LLC was last updated on July 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.