Wake Robin

LBN: Trillium Family Services
Wake Robin is an health care organization with primary practice located at 1520 Plaza Street Nw Suite 100, Salem OR 97304. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Trillium Family Services can be contacted via phone (503) 205-4362, or through Venzke, Suzy K via phone (503) 205-4362.

Contact Information

Primary practice address
1520 Plaza Street Nw Suite 100 Salem OR 97304
Phone: (503) 205-4362
Fax: (503) 205-0193
Website:
Map and Directions
Authorized official contact:
Name: Venzke, Suzy K
Phone: (503) 205-4362

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1336401017
LBN Legal business name Trillium Family Services
DBA Doing business as Wake Robin
Authorized official Venzke, Suzy K
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 8th, 2012
Last updated Mar 24th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336401017 NPPES
Oregon MEDICAID 145946

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