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Cowlitz Indian Tribe — NPI 1851328447, Longview, WA | NPI Central

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NPI 1851328447

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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

General Practice PhysicianPrimary208D00000X
Allopathic & Osteopathic Physicians
Public Health & General Preventive Medicine Physician2083P0901X
Allopathic & Osteopathic Physicians
Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Substance Use Disorder Rehabilitation Clinic/Center261QR0405X
Ambulatory Health Care Facilities

Practice location

1044 11th Ave

Longview, WA 98632

Phone: (360) 575-8275

Approximate (ZIP-level) locationGet directions

More WA providers

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 Pl
Dupont, WA 98327-8781
Phone: (206) 721-5170
900 Fir St
Longview, WA 98632-2544
Phone: (360) 575-3316
6450 Southcenter Blvd Ste 102
Tukwila, WA 98188-2552
Phone: (206) 721-5170
15455 65th Ave S
Tukwila, WA 98188-2534
Phone: (206) 721-5170
7700 Ne 26th Ave
Vancouver, WA 98665-0672
Phone: (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.