NPIMap

Organization Active NPI

Trillium Family Services, Inc.

  • Community/Behavioral Health Agency
  • Bend, OR
National Provider Identifier
1053926568
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRILLIUM FAMILY SERVICES, INC.
Practice address
2480 NE Twin Knolls Dr
Bend, OR 97701-6833
Phone
(541) 758-5900
NPI assigned
Sep 11, 2020
Organization subpart
Yes
Parent organization
TRILLIUM FAMILY SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Suzy Venzke
Title
Billing Manager
Phone
(503) 205-4362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2480 NE Twin Knolls Dr
Bend, OR 97701-6833

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
500828835MedicaidOR

Other names 1

  • Bend Day Treatment/Partial Hospitalization Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Trillium Family Service12 organizations share this tax ID, including this one
Part of
Trillium Family Service

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2480 NE Twin Knolls Dr
Bend, OR 97701
Phone (541) 323-7552

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1053926568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 SE POWELL BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023371",
            "telephone_number": "503-234-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 NE TWIN KNOLLS DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016833",
            "telephone_number": "541-758-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM FAMILY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRILLIUM FAMILY SERVICES, INC.",
        "enumeration_date": "2020-09-11",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "VENZKE",
        "authorized_official_first_name": "SUZY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "503-205-4362"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500828835",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bend Day Treatment/Partial Hospitalization Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.