NPIMap

Organization Active NPI

Trillium Family Services

Doing business as Parry Center for Children

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, OR
National Provider Identifier
1821299033
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
022640 Issued in OR
Legal business name
TRILLIUM FAMILY SERVICES
Doing business as
Parry Center for Children
Practice address
3415 SE Powell Blvd.
Portland, OR 97202
Phone
(503) 205-4362
Fax
(503) 205-0193
NPI assigned
May 29, 2007
Last updated
Jul 22, 2025By the provider in NPPES
Organization subpart
No

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU
Mental Illness Community Based Residential Treatment Facility 320800000X 022640 OR Primary
Community/Behavioral Health Agency 251S00000X 022640 OR

Addresses

Primary practice location

3415 SE Powell Blvd.
Portland, OR 97202

Mailing address

3415 SE Powell Blvd.
Portland, OR 97202
Phone (503) 205-4362

Other identifiers 1

IdentifierTypeStateIssuer
022640MedicaidOR

Other names 1

  • Parry Center for Children Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821299033. Details of each certification follow.

  • CCN 38L002 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 38L002

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PARRY CENTER FOR CHILDREN
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Jul 1, 2002
Last certification
Sep 8, 2025
Beds
32
Ownership / control type
Non-profit – other
Facility address
3415 SE Powell Blvd
Portland, OR 97202

National Provider Directory

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

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1821299033",
    "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": "97202",
            "telephone_number": "503-205-4362",
            "fax_number": "503-205-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 SE POWELL BLVD.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97202",
            "telephone_number": "503-205-4362",
            "fax_number": "503-205-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "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": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OR",
            "license": "022640",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "022640",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022640",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parry Center for Children",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.