Organization
ORANGE PACIFIC MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY KORM PMHNP-BC (FOUNDER)
(978) 328-3023
Entity
Organization
Contact information
Practice address
207 N FIR ST, 2ND FLOOR, SISTERS, OR 97759
(978) 328-3023
Mailing address
PO BOX 2310, SISTERS, OR 97759-2310
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500865323
—
OR
Enumeration date
09/02/2025
Last updated
06/19/2026
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