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Organization

SKY LAKES MEDICAL CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD E RICO (VP)
(541) 274-6150
Entity
Organization

Contact information

Practice address
2200 BRYANT WILLIAMS DR, KLAMATH FALLS, OR 97601-1120
(541) 882-6311
(541) 274-6247
Mailing address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 882-6311
(541) 274-6247

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14-0724
OR

Other

Enumeration date
07/06/2011
Last updated
09/30/2011
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