Organization Active NPI

Orange Pacific Mental Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sisters, OR
National Provider Identifier
1881574838
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ORANGE PACIFIC MENTAL HEALTH, LLC
Practice address
207 N Fir St, 2ND Floor
Sisters, OR 97759
Phone
(978) 328-3023
NPI assigned
Sep 2, 2025
Last updated
Jul 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Timothy Korm, PMHNP-BCNPI 1447717657
Title
Founder
Phone
(978) 328-3023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

207 N Fir St, 2ND Floor
Sisters, OR 97759

Mailing address

PO Box 2310
Sisters, OR 97759-2310

Other practice location 1

3326 160th Ave SE Ste 450
Bellevue, WA 98008-6400
Phone (503) 987-3135

Other practice location 2

1250 E Baseline Rd Ste 103
Tempe, AZ 85283-1439
Phone (503) 987-3135

Other identifiers 1

IdentifierTypeStateIssuer
500865323MedicaidOR

National Provider Directory

National Provider Directory

Locations

3400 NE John Olsen Ave
Ste 200
Hillsboro, OR 97124
Phone (503) 345-9695

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1881574838",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N FIR ST, 2ND FLOOR",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "97759",
            "telephone_number": "978-328-3023"
        }
    ],
    "practiceLocations": [
        {
            "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"
        }
    ],
    "basic": {
        "organization_name": "ORANGE PACIFIC MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-02",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "KORM",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "978-328-3023",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500865323",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sisters, OR

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.