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JERRY KORKOW PSS
NPI 1306555958
Peer Specialist in Mill City, OR

Active since November 22, 2022
280 NE SANTIAM BLVD, MILL CITY, OR 97360(971) 332-5676 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry Korkow Pss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY KORKOW PSS (NPI 1306555958) is an individual peer specialist in Mill City, Oregon, licensed in Oregon (THW000107518) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1306555958
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJERRY KORKOWCredential: PSS
Location Address280 NE SANTIAM BLVDMill City, OR 97360
Mailing Address614 W Central AveGates, OR 97346-9307
Phone(971) 332-5676
Sole ProprietorYes
Enumeration DateNovember 22, 2022
NPPES CertifiedNovember 15, 2022
✔ NPI 1306555958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · THW000107518
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
280 NE SANTIAM BLVD, Mill City, OR 97360
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KATHLEEN SUSANNE GAMBLE THW, PSS
Peer Specialist
280 NE SANTIAM BLVD
MILL CITY, OR 97360
Linn County (971) 332-5676
JUSTIN BRUNSON PSS
Peer Specialist
280 NE SANTIAM BLVD
MILL CITY, OR 97360
Linn County (971) 332-5676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Korkow's NPI number?

The NPI number for Jerry Korkow is 1306555958. It was assigned to this individual provider in the NPPES registry on November 22, 2022.

Where is Jerry Korkow located?

Jerry Korkow practices at 280 NE Santiam Blvd, Mill City, OR 97360. The listed phone number is (971) 332-5676.

What is Jerry Korkow's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jerry Korkow was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.