Cowlitz Indian Tribe
NPI 1164649679 · Substance Use Disorder Rehabilitation Clinic/Center · Vancouver, WA
Cowlitz Indian Tribe is a Substance Use Disorder Rehabilitation Clinic/Center organization in Vancouver, WA (NPI 1164649679).
Provider details
- NPI number
- 1164649679
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Cowlitz Indian Tribe
- Organization subpart
- Yes
- Authorized official
- Shavon Keller, Billing Supervisor(360) 353-9431
Specialties & taxonomies
Ambulatory Health Care Facilities
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Cowlitz Tribal Treatment
Additional practice locations (1)
- 900 Fir StLongview, WA 98632-2544Phone: (360) 575-3316
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2024-07-22
- Certified
- 2024-07-22
Frequently asked questions
- What is Cowlitz Indian Tribe's NPI number?
- Cowlitz Indian Tribe's National Provider Identifier (NPI) is 1164649679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cowlitz Indian Tribe?
- Cowlitz Indian Tribe is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Cowlitz Indian Tribe located?
- Cowlitz Indian Tribe's practice location on file with NPPES is 7700 Ne 26th Ave, Vancouver, WA 98665-0672.
- What is Cowlitz Indian Tribe's phone number?
- The practice phone number listed in the NPPES registry for Cowlitz Indian Tribe is (360) 397-8228.
- Who is the authorized official for Cowlitz Indian Tribe?
- The authorized official listed on Cowlitz Indian Tribe's NPPES record is Shavon Keller, Billing Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cowlitz Indian Tribe's NPI active?
- Yes — Cowlitz Indian Tribe's NPI (1164649679) is active in the NPPES registry as of the last update on 2024-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.