Cowlitz Indian Tribe
Cowlitz Indian Tribe is a healthcare organization registered as Public Health & General Preventive Medicine Physician in Longview, WA, holding Type 2 (organization) NPI 1619194123 since 2007. The authorized official on file is Shavon Keller, Billing Supervisor.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1619194123 |
|---|---|
| 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 | 3603539422 |
| 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 |
|---|---|---|---|---|
| 261QH0100X | Health Service Clinic/Center | Secondary | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Secondary | — | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | Secondary | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1981224 | Medicaid | WA | — |
Copy-ready billing details
Provider: Cowlitz Indian Tribe NPI: 1619194123 Taxonomy: 2083P0901X (Public Health & General Preventive Medicine Physician) 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 |
| 1528285038 | Cowlitz Indian Tribe | Organization | Substance Use Disorder Rehabilitation Clinic/Center | 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 1619194123 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
Who is the authorized official for Cowlitz Indian Tribe?
What is the NPI number for Cowlitz Indian Tribe?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-10-31.