Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerry Korkow, PSS

Individual provider Peer Specialist · NPI 1306555958

Jerry Korkow, PSS is a Peer Specialist in Mill City, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2022
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Practice location Address checks out

280 NE Santiam Blvd
Mill City, OR 97360
Phone: (971) 332-5676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence THW000107518 (OR)

Record details

NPI number1306555958
Entity typeIndividual (Type 1)
GenderMale
Credentials PSS
Sole proprietorYes
NPI enumeratedNovember 22, 2022
Last updated in NPPESNovember 22, 2022
Certification dateNovember 15, 2022

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