Trillium Community Health Plan, INC.
Health Maintenance Organization in Tigard, OR. Organization (NPI-2).
NPI number1851908487
StatusActive
Last updated in NPPESNov 14, 2025
Details
- NPI
- 1851908487
- Entity type
- Organization (NPI-2)
- Legal business name
- Trillium Community Health Plan, INC.
- Organization subpart
- No
- Enumeration date
- Sep 28, 2020
- Certification date
- Nov 14, 2025
- Last updated
- Nov 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
Practice location
13221 Sw 68th Pkwy Ste 300Tigard, OR 97223-8328
Phone 877-600-5472
Mailing address
7700 Forsyth BlvdSaint Louis, MO 63105-1813
Authorized official
Kenneth Koshorek
Vp, Associate General Counsel
3137205567
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