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 1972962165

Cowlitz Indian Tribe is a Public Health & General Preventive Medicine Physician in Vancouver, Washington. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3

Practice location Address checks out

7700 NE 26th Ave
Vancouver, WA 98665-0672
Phone: (360) 397-8228
Fax: (360) 575-1950
Show map & directions

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

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

Record details

NPI number1972962165
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 enumeratedFebruary 16, 2016
Last updated in NPPESFebruary 3, 2023
Certification dateFebruary 3, 2023
Mailing addressPo Box 2429, Longview, WA 98632-8486

Other providers in Vancouver