Organization
SKY LAKES MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAL L PERLMAN (PFS DIRECTOR)
(541) 274-6651
Entity
Organization
Contact information
Practice address
2821 DAGGETT AVE STE 200, KLAMATH FALLS, OR 97601-1130
(541) 274-8400
(541) 274-8405
Mailing address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 274-6221
(541) 274-6247
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152371
—
OR
05
—
500725155
—
OR
Enumeration date
07/20/2020
Last updated
01/29/2021
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