Korkow, Jerry

Korkow, Jerry is an sole proprietor health care provider with primary practice located at 280 Ne Santiam Blvd , Mill City OR 97360. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Korkow, Jerry can be contacted via phone (971) 332-5676.

Contact Information

Primary practice address
280 Ne Santiam Blvd Mill City OR 97360
Phone: (971) 332-5676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X THW000107518 Oregon

Profile Details

NPI number 1306555958
LBN Legal business name Korkow, Jerry
Credentials PSS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2022
Last updated Nov 22nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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