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

Cowlitz Indian Tribe

Organization Public Health & General Preventive Medicine Physician · NPI 1619194123

Cowlitz Indian Tribe is a Public Health & General Preventive Medicine Physician in Longview, Washington. Works from 6 locations. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
4

Practice location Address checks out

900 Fir St
Longview, WA 98632-2544
Phone: (360) 353-9422
Show map & directions

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

Additional practice locations (5)

  • 1000 Davis Pl, Dupont, WA 98327-8781 — (360) 946-2498
  • 1044 11th Ave, Longview, WA 98632-2506 — (360) 575-8275
  • 15455 65th Ave S, Tukwila, WA 98188-2534 — (206) 721-5170
  • 6450 Southcenter Blvd, Tukwila, WA 98188-2552 — (206) 466-5410
  • 7700 Ne 26th Ave, Vancouver, WA 98665-0672 — (360) 397-8228

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X
Health Service Clinic/Center Taxonomy 261QH0100X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1619194123
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCowlitz Indian Tribe
Authorized official Shavon Keller — Billing Supervisor · (360) 353-9431
Other names Cowlitz Indian Tribal Health Services
NPI enumeratedApril 19, 2007
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing addressPo Box 2429, Longview, WA 98632-8486

Other providers in Longview