Organization Active NPI

Trillium Family Services

  • Mental Illness Community Based Residential Treatment Facility
  • Corvallis, OR
National Provider Identifier
1104026376
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
TRILLIUM FAMILY SERVICES
Practice address
792 SE Mayberry Ave
Corvallis, OR 97333-1862
Phone
(503) 780-8811
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Todd Byerly
Title
Supervisor
Phone
(541) 990-4958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X OR Primary

Addresses

Primary practice location

792 SE Mayberry Ave
Corvallis, OR 97333-1862

Mailing address

792 SE Mayberry Ave
Corvallis, OR 97333-1862
Phone (503) 780-8811

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1104026376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 SE MAYBERRY AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973331862",
            "telephone_number": "503-780-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 SE MAYBERRY AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973331862",
            "telephone_number": "503-780-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "BYERLY",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "541-990-4958"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.