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Cowlitz Indian Tribe

Cowlitz Indian Tribe is a healthcare organization registered as Clinic/Center in Longview, WA, holding Type 2 (organization) NPI 1740562909 since 2011. The authorized official on file is Shavon Keller, Billing Supervisor.

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NPI 1740562909
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 3605751948
Enumeration date 2011-09-14
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
261Q00000X Clinic/Center Primary

Other identifiers

Identifier Type State Issuer
7122898 Medicaid WA
Copy-ready billing details
Provider: Cowlitz Indian Tribe
NPI: 1740562909
Taxonomy: 261Q00000X (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
1346465101 Cowlitz Indian Tribe Organization Primary Care Clinic/Center 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

Verify this record

Cross-check NPI 1740562909 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?
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 1740562909, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-03-22.