OrganizationActive
Sky Lakes Outpatient Imaging
NPI 1245572023 · Body Imaging Physician · Klamath Falls, OR
Provider details
- NPI number
- 1245572023
- Entity type
- Organization
- Primary specialty
- Body Imaging PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Sky Lakes Medical Center Inc
- Organization subpart
- Yes
- Authorized official
- Richard Rico, Vp/Cfo(541) 274-6150
- License
- 14-0724 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Hospitals
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2900 Daggett Ave
Klamath Falls, OR 97601-7101
Phone: (541) 274-6221
Street-level locationGet directions
Mailing address
2865 Daggett Ave
Klamath Falls, OR 97601-1106
Registry dates
- Enumerated
- 2013-03-20
- Last updated
- 2013-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.