# TRILLIUM FAMILY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710439740
- **Authorized official:** MR. AUSTIN A LERWICK (SKILLS TRAINER)
- **Authorized official phone:** (503) 929-8825

## Contact information

- **Practice address:** 3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
- **Practice address phone:** (888) 295-6996
- **Mailing address:** 3415 SE POWELL BLVD, PORTLAND, OR 97202-3371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | OR | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | OR | Yes |

## Other

- **Enumeration date:** 10/25/2016
- **Last updated:** 10/25/2016
