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Cowlitz Indian Tribe

Public Health & General Preventive Medicine Physician 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

1619194123

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Registry record

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 (360) 353-9422
Enumeration date Apr 19, 2007
Last updated in NPPES Oct 31, 2024

Taxonomy & classification

2083P0901X Public Health & General Preventive Medicine Physician Allopathic & Osteopathic Physicians Primary
261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities Secondary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Shavon Keller
Title Billing Supervisor
Phone (360) 353-9431

Other identifiers

Identifier Type State Issuer
1981224 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

Who is the authorized official for Cowlitz Indian Tribe?
NPPES lists Shavon Keller (Billing Supervisor) as the authorized official for this organization.
What is the NPI number for Cowlitz Indian Tribe?
The NPI for Cowlitz Indian Tribe is 1619194123, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-31.