Organization
TRILLIUM FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE JASON RUIS MORENO (SKILLS TRAINER)
(541) 400-9541
Entity
Organization
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/07/2024
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