NPI 1538570551

Trillium Family Service

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Portland, OR

Practice location

Address: 3415 SE Powell Blvd, Portland, OR 97202-3371
Phone: (503) 234-9591

Authorised official

Name: Marisela Johnson
Title: Skill Trainer
Phone: (503) 243-9591

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1538570551
Entity type: Organization
NPI issued: 13 May 2014
Record last updated: 13 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.