Trinity Mission Health & Rehab of Portland, LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N/A Issued in OR

Legal business name

TRINITY MISSION HEALTH & REHAB OF PORTLAND, LP

Practice address

10435 SE Cora St
Portland, OR 97266-2331

Phone

(503) 760-1737

Fax

(503) 761-1582

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Judy Ullery

Title

President

Phone

(901) 937-7994

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1154371888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10435 SE CORA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972662331",
            "telephone_number": "503-760-1737",
            "fax_number": "503-761-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 SE CORA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972662331",
            "telephone_number": "503-760-1737",
            "fax_number": "503-761-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MISSION HEALTH & REHAB OF PORTLAND, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "ULLERY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-937-7994",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800750",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nam Thanh Trinh, MD
• Nathalia Hinolan Trinidad
• Yulya Trinidad, LCSW
• Katherine Trinisewski
• Fiona Grace Trinite
• Brigitta Irene Triolo, PA-C
• Mark Edward Triolo
• Triple Moon Therapy LLC
• Olivia Triplett, MD
• Sherry Triplett, LPN

• Skilled Nursing Facility in Portland, OR
• Providers in Portland, OR by specialty
• Skilled Nursing Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.