Cowlitz Indian Tribe
Cowlitz Indian Tribe is a General Practice Physician in Vancouver, Washington. Works from 2 locations. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
7700 NE 26th AveVancouver, WA 98665-0672
Phone: (360) 397-8228
Fax: (360) 575-1950
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 900 Fir St, Longview, WA 98632-2544 — (360) 575-3316
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X |
|---|---|
| General Practice Physician | Taxonomy 208D00000X |
Record details
| NPI number | 1164649679 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Cowlitz Indian Tribe |
| Authorized official | Shavon Keller — Billing Supervisor · (360) 353-9431 |
| Other names | Cowlitz Tribal Treatment |
| NPI enumerated | April 19, 2007 |
| Last updated in NPPES | July 22, 2024 |
| Certification date | July 22, 2024 |
| Mailing address | P.O. Box 2429, Longview, WA 98632 |
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