Cowlitz Indian Tribe
Cowlitz Indian Tribe is a healthcare organization registered as Substance Use Disorder Rehabilitation Clinic/Center in Longview, WA, holding Type 2 (organization) NPI 1528285038 since 2007. The authorized official on file is Shavon Keller, Billing Supervisor.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1528285038 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Cowlitz Indian Tribe |
| Other name | <Unavail> |
| Parent organization | Cowlitz Indian Tribe |
| Practice address | 900 FIR ST, Longview, WA, 98632 |
| Phone | 3605758275 |
| Enumeration date | 2007-04-19 |
| Last updated in NPPES | 2024-10-31 |
Authorized official
| Name | Shavon Keller |
|---|---|
| Title | Billing Supervisor |
| Phone | 3603539431 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | Secondary | — | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1994987 | Medicaid | WA | — |
Copy-ready billing details
Provider: Cowlitz Indian Tribe NPI: 1528285038 Taxonomy: 261QR0405X (Substance Use Disorder Rehabilitation Clinic/Center) Address: 900 FIR ST, Longview, WA, 98632
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720086424 | Natalie East | Individual | Physical Therapist | Longview, WA |
| 1699773390 | Suzanne Gerhart | Individual | Physical Therapist | Longview, WA |
| 1619194123 | Cowlitz Indian Tribe | Organization | Public Health & General Preventive Medicine Physician | Longview, WA |
| 1568701530 | Kristine Rister | Individual | Clinical Social Worker | Longview, WA |
| 1043681513 | Angela Naillon | Individual | Marriage & Family Therapist | Longview, WA |
| 1952840944 | Kelsey Gravelle | Individual | Clinical Social Worker | Longview, WA |
| 1285133876 | Angela Mitchell | Individual | Addiction (Substance Use Disorder) Counselor | Longview, WA |
| 1194217976 | Tyler Stockton | Individual | Addiction (Substance Use Disorder) Counselor | Longview, WA |
Verify this record
Cross-check NPI 1528285038 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
Where is Cowlitz Indian Tribe located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-10-31.