NPIMap

Organization Active NPI

Trillium Family Services

  • Community/Behavioral Health Agency
  • Salem, OR
National Provider Identifier
1336401017
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
Practice address
1520 Plaza Street NW
Suite 100
Salem, OR 97304
Phone
(541) 758-5900
Fax
(503) 205-0193
NPI assigned
Jun 8, 2012
Last updated
Jul 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TRILLIUM FAMILY SERVICESAs 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
Ms. Suzy Venzke
Title
Sr Manager of Billing Services
Phone
(503) 205-4362

Specialties & licenses 1

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

Addresses

Primary practice location

1520 Plaza Street NW
Suite 100
Salem, OR 97304

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
145946MedicaidOR

Other names 1

  • Wake Robin Other name

National Provider Directory

National Provider Directory
Tax ID family
Trillium Family Services Inc12 organizations share this tax ID, including this one
Part of
Trillium Family Services Inc

Other organizations with this tax ID 11

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

Locations

1520 Plaza St NW
Ste 100
Salem, OR 97304
Phone (503) 385-8409

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1336401017",
    "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",
            "fax_number": "503-205-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 PLAZA STREET NW",
            "address_2": "SUITE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97304",
            "telephone_number": "541-758-5900",
            "fax_number": "503-205-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRILLIUM FAMILY SERVICES",
        "enumeration_date": "2012-06-08",
        "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": "SR MANAGER OF BILLING SERVICES",
        "authorized_official_telephone_number": "503-205-4362",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145946",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wake Robin",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salem, 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.