Icco, LLC in Dallas, OR
This location of Icco bills under NPI 1619558640, an organization record issued on Apr 20, 2021 with the primary taxonomy Rural Health Clinic/Center. It is one of 34 NPIs registered under this name; each clinician who sees you there has their own NPI and license.
Organization recordNPPES, Aug 2026
1619558640
- Legal name
- Icco, LLC
- Entity
- Type 2 · organization
- Primary taxonomy
- Rural Health Clinic/Center 261QR1300X
- Practice location
- 186 W ELLENDALE AVE, Dallas, OR 97338
- Phone
- 971-900-4984
- Mailing address
- Portland, OR
- Enumerated
- Apr 20, 2021
- Record updated
- Jun 29, 2022
- Authorized official
- Cfo (title as filed)
6 clinicians CMS lists with Icco in Dallas
- Josiah Dick, PAPhysician Assistant1699366740
- Zachary Henry, PA-CPhysician Assistant1205603644
- Ronald Keller, PA-CPhysician Assistant1740617729
- James Shearer, PA-CPhysician Assistant1235420753
- Jeremy Waldie, PA-CPhysician Assistant1043546534
- Webb Wilson, DOEmergency Medicine Physician1639371966
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the Oregon secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
Common questions
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.