Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cowlitz Family Health Center

Organization Federally Qualified Health Center (FQHC) · NPI 1104243534

Cowlitz Family Health Center is a Federally Qualified Health Center (FQHC) in Kelso, Washington. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2

Practice location Address checks out

621 Grade St
Kelso, WA 98626-2606
Phone: (360) 636-3892
Fax: (360) 232-8400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X

Record details

NPI number1104243534
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Coffee — Ceo · (360) 636-3892
NPI enumeratedMarch 24, 2014
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022
Mailing address1057 12th Ave, Longview, WA 98632-2509

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