Organization Active NPI

Trillium Family Services

  • Mental Illness Community Based Residential Treatment Facility
  • Corvallis, OR
National Provider Identifier
1740733906
Registry record updated Jul 25, 2016
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
4545 NE Highway 20
Corvallis, OR 97330-9655
Phone
(541) 757-1852
NPI assigned
Jul 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Scott David Macdonald
Title
ST2
Phone
(541) 757-1852

Specialties & licenses 1

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

Addresses

Primary practice location

4545 NE Highway 20
Corvallis, OR 97330-9655

Mailing address

4545 NE Highway 20
Corvallis, OR 97330-9655
Phone (541) 757-1852

National Provider Directory

National Provider Directory

Locations

4545 NE Highway 20
Corvallis, OR 97330
Phone (541) 624-4288

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1740733906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 NE HIGHWAY 20",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309655",
            "telephone_number": "541-757-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 NE HIGHWAY 20",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309655",
            "telephone_number": "541-757-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "ST2",
        "authorized_official_telephone_number": "541-757-1852"
    },
    "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 25, 2016; 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.