Trillium Family Services in Portland - Residential Treatment Facility, Emotionally Disturbed Children
Trillium Family Services - NPI 1992873004
Trillium Family Services is a Residential Treatment Facility, Emotionally Disturbed Children in Portland, Oregon. Trillium Family Services practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Trillium Family Services is 1992873004. The last update date is 2014-03-24.
Trillium Family Services's current location address is 3415 Se Powell Boulevard, Portland, Oregon. You can contact this provider via phone number 5032054362 and fax number 5032050193. The mailing address for Trillium Family Services is 3415 Se Powell Boulevard, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Trillium Family Services |
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Address | 3415 Se Powell Boulevard, Portland, Oregon |
Phone Number | 5032054362 |
Fax Number | 5032050193 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | BILLING MA |
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Authorized Official Name | Venzke Suzy |
Telephone Number | 5032054362 |
NPI Number Detail
NPI Number | 1992873004 |
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Provider Enumeration Date | 2006-11-30 |
Last Updated Date | 2014-03-24 |
Provider Mailing Address Detail
Address | 3415 Se Powell Boulevard |
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City | Portland |
State | Oregon (OR) |
Post Code | 97202 |
Phone Number | 5032054362 |
Fax Number | 5032050193 |
Provider's Primary Taxonomy Detail
Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
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Taxonomy | 322D00000X |
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
312089 | OR | -- |
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What is the unique 10-digit identifier code issued to Trillium Family Services by the Centers for Medicare & Medicaid Services?
The Trillium Family Services has been assigned the NPI (National Provider Identifier) 1992873004 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Trillium Family Services located?
The Trillium Family Services is located at 3415 Se Powell Boulevard, Portland, OR 97202.
What is Trillium Family Services's specialized field of practice, and what is the corresponding taxonomy classification code?
The Trillium Family Services's area of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this field of practice is 322D00000X.
When did the Trillium Family Services receive its 1992873004?
The Trillium Family Services was issued its 1992873004 on 2006-11-30, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Trillium Family Services, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Trillium Family Services, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-03-24.