| NPI | 1235657156 |
|---|---|
| Doing Business As | SKY LAKES HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | CAMMY LUCERO CEO 971-273-7299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2026-06-19 |