Organization
TRILLIUM FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUSTIN A LERWICK (SKILLS TRAINER)
(503) 929-8825
Entity
Organization
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(888) 295-6996
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
OR
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
OR
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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