Trillium Family Services, Inc.

LBN: Trillium Family Services, Inc.
Trillium Family Services, Inc. is an health care organization with primary practice located at 4455 Ne Highway 20 , Corvallis OR 97330-9695. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Trillium Family Services, Inc. can be contacted via phone (503) 234-9591, or through Fowell, James Russell via phone (503) 205-3577.

Contact Information

Primary practice address
4455 Ne Highway 20 Corvallis OR 97330-9695
Fax: (503) 205-0193
Website:
Authorized official contact:
Name: Fowell, James Russell

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 0006 Oregon

Profile Details

NPI number 1891012506
LBN Legal business name Trillium Family Services, Inc.
DBA Doing business as
Authorized official Fowell, James Russell
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2010
Last updated Sep 28th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891012506 NPPES
Oregon MEDICAID 620225

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