Organization
SKY LAKES CANCER TREATMENT CENTER
Active
Parent organization
SKY LAKES MEDICAL CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SKY LAKES MEDICAL CENTER, INC.
Authorized official
MR. RICHARD E RICO (VP)
(541) 274-6150
Entity
Organization
Contact information
Practice address
2610 UHRMANN RD, KLAMATH FALLS, OR 97601-1123
(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
OR
Other
Enumeration date
07/06/2011
Last updated
01/22/2016
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