Cowlitz Indian Tribe

NPI #1851328447 in Longview, Washington

Provider Information

NPI Number
1851328447
Entity Type
Organization
Organization Name
Cowlitz Indian Tribe
Primary Specialty
General Practice
Enumeration Date
Jun 27, 2006
Last Updated
Oct 31, 2024

Practice Location

Address
1044 11TH AVE
ZIP Code
98632
Phone
(360) 575-8275

Authorized Official

Name
SHAVON KELLER
Title
BILLING SUPERVISOR
Phone
(360) 353-9431

Specialties & Taxonomy Codes

Specialty
Preventive Medicine - Public Health & General Preventive MedicinePublic Health & General Preventive Medicine
Clinic/Center
Clinic/Center - Health ServiceHealth Service
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder
General Practice

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