Organization
SKY LAKES MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E RICO (VP)
(541) 274-6150
Entity
Organization
Contact information
Practice address
2617 ALMOND ST, KLAMATH FALLS, OR 97601-1116
(541) 274-6221
(541) 274-6247
Mailing address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 274-6221
(541) 274-6247
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14-0724-4
OR
Other
Enumeration date
07/06/2011
Last updated
09/29/2011
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