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

Cowlitz Indian Tribe

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1538412630

Cowlitz Indian Tribe is a Mental Health Clinic/Center (Including Community Mental Health Center) in Vancouver, Washington. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3

Practice location Address checks out

7105 NE 40th St
Vancouver, WA 98661-3058
Phone: (360) 353-9431
Fax: (360) 353-9440
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
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Methadone Clinic Taxonomy 261QM2800X

Record details

NPI number1538412630
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNorthstar Clinic
Authorized official Shavon Keller — Billing Supervisor · (360) 353-9431
Other names Cowlitz Indian Tribe; Northstar Clinic
NPI enumeratedOctober 26, 2012
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing addressPo Box 2429, Longview, WA 98632-8486

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