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Cowlitz Indian Tribe

Primary Care Clinic/Center in Longview, WA · enumerated 2007 · authorized official Shavon Keller, Billing Supervisor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1346465101

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Registry record

Entity type Organization (Type 2)
Legal business name Cowlitz Indian Tribe
Other name <Unavail>
Practice address 1044 11th Ave, Longview, WA, 98632
Fax (360) 575-1950
Enumeration date Apr 16, 2007
Last updated in NPPES Mar 22, 2018

Taxonomy & classification

261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Shavon Keller
Title Billing Supervisor

Other identifiers

Identifier Type State Issuer
7122898 Medicaid WA -

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-03-22. Verify at npiregistry.cms.hhs.gov.
Where is Cowlitz Indian Tribe located?
The practice location on file with NPPES is in Longview, WA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-22.