SearchOregon175T00000X

Jerry Korkow, PSS

NPI 1306555958 · on the registry since 2022 · sole proprietor

Practice

Address
280 Ne Santiam Blvd
Mill City, OR 97360
Phone
(971) 332-5676
Clinicians at this address
3

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon