Cowlitz Indian Tribe
Cowlitz Indian Tribe is a Public Health & General Preventive Medicine Physician in Tukwila, Washington. Works from 3 locations. Registered with an NPI since 2012.
- In the registry since
- 2012
- Specialties on file
- 4
Practice location Address checks out
15455 65th Ave STukwila, WA 98188
Phone: (206) 721-5170
Fax: (206) 721-6288
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 (2)
- 1000 Davis Pl, Dupont, WA 98327-8781 — (206) 721-5170
- 6450 Southcenter Blvd, Tukwila, WA 98188-2552 — (206) 721-5170
Specialties & licences
| Public Health & General Preventive Medicine Physician (primary) | Taxonomy 2083P0901X |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X |
| Health Service Clinic/Center | Taxonomy 261QH0100X |
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
Record details
| NPI number | 1225382328 |
|---|---|
| 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 Health Services |
| NPI enumerated | October 29, 2012 |
| Last updated in NPPES | February 3, 2023 |
| Certification date | February 3, 2023 |
| Mailing address | Po Box 2429, Longview, WA 98632-8486 |