OrganizationActive
Cowlitz Indian Tribe
NPI 1851328447 · General Practice Physician · Longview, WA
Provider details
- NPI number
- 1851328447
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shavon Keller, Billing Supervisor(360) 353-9431
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
1044 11th Ave
Longview, WA 98632
Phone: (360) 575-8275
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2429
Longview, WA 98632-8486
Other names (DBA / former)
- Other name
- Cowlitz Indian Tribal Health Services
Additional practice locations (5)
- 1000 Davis PlDupont, WA 98327-8781Phone: (206) 721-5170
- 900 Fir StLongview, WA 98632-2544Phone: (360) 575-3316
- 6450 Southcenter Blvd Ste 102Tukwila, WA 98188-2552Phone: (206) 721-5170
- 15455 65th Ave STukwila, WA 98188-2534Phone: (206) 721-5170
- 7700 Ne 26th AveVancouver, WA 98665-0672Phone: (360) 397-8228
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.