OrganizationActive
Cowlitz Indian Tribe
NPI 1861722258 · Health Service Clinic/Center · Toledo, WA
Provider details
- NPI number
- 1861722258
- Entity type
- Organization
- Primary specialty
- Health Service 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
Practice location
107 Spencer Rd
Toledo, WA 98591
Phone: (360) 353-9431
Fax: (360) 353-9440
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2429
Longview, WA 98632-8486
Additional practice locations (1)
- 1 Cowlitz WayRidgefield, WA 98642-5487Phone: (360) 575-8275Fax: (360) 353-9440
Registry dates
- Enumerated
- 2010-01-06
- Last updated
- 2018-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.