Timothy Korm, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10050245 Issued in OR

Practice address

207 N Fir St
FL 2
Sisters, OR 97759

Phone

(503) 987-3135

Fax

(503) 388-7333

NPI assigned

Feb 24, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orange Pacific Mental Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sisters, OR
  • NPI 1881574838
  NPD Authorized official
• Orange Pacific Mental Health, Professional Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, CA
  • NPI 1487582540
  NPD Authorized official
• Myezmed

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1982441341
  Medicare reassignment
• Kible Health, P.a.

  • Geriatric Medicine (Family Medicine) Physician
  • Miami, FL
  • NPI 1578369641
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1447717657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2310",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977592310",
            "telephone_number": "978-328-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N FIR ST",
            "address_2": "FL 2",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "97759",
            "telephone_number": "503-987-3135",
            "fax_number": "503-388-7333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Brand Blvd Unit 200",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912033590",
            "country_code": "US",
            "telephone_number": "503-987-3135",
            "fax_number": "503-388-7333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3326 160th Ave SE Ste 450",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980086400",
            "country_code": "US",
            "telephone_number": "503-987-3135",
            "fax_number": "503-388-7333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Baseline Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852831439",
            "country_code": "US",
            "telephone_number": "503-987-3135",
            "fax_number": "503-388-7333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7515 Falcon Crest Dr",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977565014",
            "country_code": "US",
            "telephone_number": "503-987-3135",
            "fax_number": "541-527-4347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORM",
        "first_name": "TIMOTHY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-24",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2273544",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95191423",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10050245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Joan Kauffman, M.D.
• Jeremy Rowe Kenison, D.O.
• Avery Ketchum
• Martha Woolsey King
• Ida Kolodziejczyk
• Kristi Lyn Rhodes
• Kristine L Falco PSYD PC
• Cynthia D Kruse
• Sarah J Leet, P.A.
• Inger Johanne Lied, MD

• Psychiatric/Mental Health Nurse Practitioner in Sisters, OR
• Providers in Sisters, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.