Trillium Community Health Plan, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

TRILLIUM COMMUNITY HEALTH PLAN, INC.

Practice address

13221 SW 68TH Pkwy Ste 300
Tigard, OR 97223-8328

Phone

(877) 600-5472

NPI assigned

Sep 28, 2020

Organization subpart

No

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

Authorized official

Name

Kenneth Koshorek

Title

VP, Associate General Counsel

Phone

(313) 720-5567

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1851908487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 FORSYTH BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13221 SW 68TH PKWY STE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238328",
            "telephone_number": "877-600-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM COMMUNITY HEALTH PLAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "KOSHOREK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP, ASSOCIATE GENERAL COUNSEL",
        "authorized_official_telephone_number": "313-720-5567"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Tigard, OR
• Providers in Tigard, OR by specialty
• Health Maintenance Organization in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.