TRILLIUM FAMILY SERVICES NPI 1013252618

NPI Information

NPI: 1013252618
Provider Name: TRILLIUM FAMILY SERVICES
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
3415 SE POWELL BLVD
PORTLAND, OR
ZIP 97202
Phone: (503) 234-9591
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TRILLIUM FAMILY SERVICES is an intermediate care facility mental illness in Portland, OR. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. TRILLIUM FAMILY SERVICES NPI is 1013252618. The provider is registered as an organization entity type.

The provider's business location address is:

3415 SE POWELL BLVD
PORTLAND, OR
ZIP 97202-371
Phone: (503) 234-9591
Fax: (503) 205-3554

The provider's authorized official is Carly Raye Weddle .
The authorized official title is Registered Nurse and has the following contact phone number (503) 545-6284.

The enumeration date for this NPI number is 12/7/2012 and was last updated on 12/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310500000X	Intermediate Care Facility, Mental Illness		200840633RN	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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