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 1851328447

Cowlitz Indian Tribe is a Public Health & General Preventive Medicine Physician in Longview, Washington. Works from 6 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
5

Practice location Address checks out

1044 11th Ave
Longview, WA 98632
Phone: (360) 575-8275
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 — (206) 721-5170
  • 900 Fir St, Longview, WA 98632-2544 — (360) 575-3316
  • 15455 65th Ave S, Tukwila, WA 98188-2534 — (206) 721-5170
  • 6450 Southcenter Blvd Ste 102, Tukwila, WA 98188-2552 — (206) 721-5170
  • 7700 Ne 26th Ave, Vancouver, WA 98665-0672 — (360) 397-8228

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X
Clinic/Center Taxonomy 261Q00000X
Health Service Clinic/Center Taxonomy 261QH0100X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1851328447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shavon Keller — Billing Supervisor · (360) 353-9431
Other names Cowlitz Indian Tribal Health Services
NPI enumeratedJune 27, 2006
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing addressPo Box 2429, Longview, WA 98632-8486

Other providers in Longview