location
search-icon
person
Jerry Korkow, PSS
Peer Specialist in Mill City, Oregon
NPI 1306555958

Jerry Korkow is a Peer Specialist based in Gates, OR. Jerry Korkow practices in Mill City, OR and has the professional credentials of PSS. The NPI Number for Jerry Korkow is 1306555958 and holds a License No. THW000107518 (Oregon).

The current practice location address for Jerry Korkow is 280 Ne Santiam Blvd, Mill City, OR and can be reached out via phone at 971-332-5676.

Location: 280 Ne Santiam Blvd, Mill City, OR, 97346-9307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306555958
Provider Name
Jerry Korkow
Credential
PSS
Provider Entity Type
Individual
Gender
Male
Address
280 Ne Santiam Blvd, Mill City, OR, 97346-9307
Phone Number
971-332-5676
Fax Number
Provider Enumeration Date
11/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
280 Ne Santiam Blvd
City
Mill City
State
Oregon
Zip
97360
Phone Number
971-332-5676
Fax Number
person
Provider Business Mailing Address Details
Address
280 Ne Santiam Blvd
City
Mill City
State
Oregon
Zip
97360
Phone Number
971-332-5676
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000107518 (Oregon)
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.