Organization
TRILLIUM FAMILY SERVICES, INC.
Active
Other names
Children's Farm Home
Organization subpart
No
Provider details
NPI number
Authorized official
SUZY VENZKE (SR. BILLING MANAGER)
(503) 205-4362
Entity
Organization
Contact information
Practice address
4455 NE HWY 20, CORVALLIS, OR 97330-9695
(541) 757-1852
(503) 205-0193
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 205-4362
(503) 205-0193
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313171
—
OR
Enumeration date
05/29/2007
Last updated
07/22/2025
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