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
- City
- Longview
- State
- Washington
- 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 Medicine — Public Health & General Preventive Medicine |
| Clinic/Center |
| Clinic/Center - Health Service — Health Service |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| General Practice |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| William O. Stahl, MD | |
| Sophie Michele Hoptowit, MD | |
| DR. Jerry Fisher, MD | |
| Shannon Ursula Waterman, MD |
Organizations
| Provider Name | |
|---|---|
| Kaiser Foundation Health Plan of the Northwest Part of Kaiser Foundation Health Plan of the Northwest |
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