Cowlitz Indian Tribe
Cowlitz Indian Tribe is a healthcare organization registered as Primary Care Clinic/Center in Longview, WA, holding Type 2 (organization) NPI 1346465101 since 2007. The authorized official on file is Shavon Keller, Billing Supervisor.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1346465101 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Cowlitz Indian Tribe |
| Other name | <Unavail> |
| Practice address | 1044 11TH AVE, Longview, WA, 98632 |
| Phone | 3605758275 |
| Fax | 3605751950 |
| Enumeration date | 2007-04-16 |
| Last updated in NPPES | 2018-03-22 |
Authorized official
| Name | Shavon Keller |
|---|---|
| Title | Billing Supervisor |
| Phone | 3603539431 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QH0100X | Health Service Clinic/Center | Secondary | — | — |
| 261QP2300X | Primary Care Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7122898 | Medicaid | WA | — |
Copy-ready billing details
Provider: Cowlitz Indian Tribe NPI: 1346465101 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 1044 11TH AVE, Longview, WA, 98632
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1851347454 | Joyce Tobias | Individual | Family Nurse Practitioner | Longview, WA |
| 1851328447 | Cowlitz Indian Tribe | Organization | General Practice Physician | Longview, WA |
| 1871652255 | Melissa Kirk | Individual | Registered Dietitian | Longview, WA |
| 1467508341 | Charletta Lewis | Individual | Psychiatric/Mental Health Nurse Practitioner | Longview, WA |
| 1386824266 | Cheyney Lindgren | Individual | Family Nurse Practitioner | Longview, WA |
| 1407018997 | Sybil Iverson | Individual | Addiction (Substance Use Disorder) Counselor | Longview, WA |
| 1902068406 | Rebecca Farquhar | Individual | Addiction (Substance Use Disorder) Counselor | Longview, WA |
| 1558509943 | Virginia Cowden-Kretzler | Individual | Psychiatric/Mental Health Nurse Practitioner | Longview, WA |
Verify this record
Cross-check NPI 1346465101 against the authoritative CMS record: view Cowlitz Indian Tribe on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Cowlitz Indian Tribe located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-03-22.