Organization
TRILLIUM COMMUNITY HEALTH PLAN, INC.
Active
Organization
TRILLIUM COMMUNITY HEALTH PLAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH KOSHOREK (VP, ASSOCIATE GENERAL COUNSEL)
(313) 720-5567
Entity
Organization
Contact information
Practice address
13221 SW 68TH PKWY STE 300, TIGARD, OR 97223-8328
(877) 600-5472
Mailing address
7700 FORSYTH BLVD, SAINT LOUIS, MO 63105-1813
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
11/14/2025
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