Cowlitz Indian Tribe
General Practice Physician · Longview, WA
Practice location
1044 11TH AveLongview, WA 98632
- Phone
- (360) 575-8275
NPI record
- NPI
- 1851328447
- Entity type
- Organization (Type 2)
- Enumeration date
- June 27, 2006
- Last updated
- October 31, 2024
- Certified
- October 31, 2024
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Physician Primary | 208D00000X |
— | — |
| Public Health & General Preventive Medicine Physician | 2083P0901X |
— | — |
| Clinic/Center | 261Q00000X |
— | — |
| Health Service Clinic/Center | 261QH0100X |
— | — |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
— | — |
Mailing address
PO Box 2429Longview, WA 98632-8486
- Phone
- (360) 575-8275
- Fax
- (360) 575-1950
Authorized official
- Name
- Shavon Keller
- Title
- Billing Supervisor
- Phone
- (360) 353-9431
Other names
- Cowlitz Indian Tribal Health Services
Other practice locations (5)
- 1000 Davis Pl, DuPont, WA 98327-8781 · (206) 721-5170
- 6450 Southcenter Blvd Ste 102, Tukwila, WA 98188-2552 · (206) 721-5170
- 900 Fir St, Longview, WA 98632-2544 · (360) 575-3316
- 7700 NE 26th Ave, Vancouver, WA 98665-0672 · (360) 397-8228
- 15455 65th Ave S, Tukwila, WA 98188-2534 · (206) 721-5170
About Cowlitz Indian Tribe
Cowlitz Indian Tribe is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 1044 11TH Ave, Longview, WA 98632. The NPI number 1851328447 was assigned on June 27, 2006 and the record was last updated on October 31, 2024.
The authorized official for this organization is Shavon Keller, Billing Supervisor.
Frequently asked questions
What is the NPI number of Cowlitz Indian Tribe?
The NPI number is 1851328447.
What is the phone number of Cowlitz Indian Tribe?
The phone number listed for the practice location is (360) 575-8275.
Where is Cowlitz Indian Tribe located?
1044 11TH Ave, Longview, WA 98632.
What is the taxonomy code for Cowlitz Indian Tribe?
The primary taxonomy code is 208D00000X – General Practice Physician; 4 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other General Practice Physician providers in Longview
- William O. Stahl, MD1615 Delaware St
- Kaiser Foundation Health Plan of the Northwest1230 7TH Ave
- Sophie Michele Hoptowit, MD720 14TH Avenue