Cowlitz Indian Tribal Health Services – Public Health & General Preventive Medicine Physician, NPI 1619194123

Cowlitz Indian Tribal Health Services is a healthcare provider. based in Longview, Washington. specializing in Public Health & General Preventive Medicine Physician. The NPI Number for Cowlitz Indian Tribal Health Services is 1619194123

Main info

Organization
Name
Cowlitz Indian Tribal Health Services
NPI
1619194123
Phone
(360) 575-8275
Address
PO BOX 2429
Authorized Official
SHAVON KELLER BILLING SUPERVISOR
Enumeration Date
19 April 2007
Last Update Date
31 October 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Cowlitz Indian Tribal Health Services

  • PO BOX 2429

    LONGVIEW, WA 986328486

    Phone: (360) 575-8275

    Fax: (360) 575-1950

    Type: Mailing

  • 900 FIR ST

    LONGVIEW, WA 986322544

    Phone: (360) 353-9422

    Type: Location

  • 1044 11th Ave

    Suite A

    Longview, WA 986322506

    Phone: (360) 575-8275

    Fax: (360) 575-1950

    Type: Location

  • 6450 Southcenter Blvd

    Tukwila, WA 981882552

    Phone: (206) 466-5410

    Type: Location

  • 1000 Davis Pl

    DuPont, WA 983278781

    Phone: (360) 946-2498

    Type: Location

  • 15455 65th Ave S

    Tukwila, WA 981882534

    Phone: (206) 721-5170

    Type: Location

  • 7700 NE 26th Ave

    Vancouver, WA 986650672

    Phone: (360) 397-8228

    Type: Location

  • 922 FIR ST

    LONGVIEW, WA 98632

    Phone: (360) 575-8275

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98632)

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Reviews

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Frequently asked questions

What federal number belongs to Cowlitz Indian Tribal Health Services?
The federal identifier for Cowlitz Indian Tribal Health Services is NPI 1619194123.
Is Cowlitz Indian Tribal Health Services currently active in the NPI registry?
CMS-published data lists Cowlitz Indian Tribal Health Services as an active registrant.
What kind of provider is Cowlitz Indian Tribal Health Services?
The page reflects Public Health & General Preventive Medicine Physician for Cowlitz Indian Tribal Health Services. Clinical services aligned with this taxonomy classification.
Where does public data place Cowlitz Indian Tribal Health Services?
The snapshot lists Longview, Washington for Cowlitz Indian Tribal Health Services; download NPPES for the complete set.
Is Cowlitz Indian Tribal Health Services a real provider?
This page reflects official NPPES data for NPI 1619194123. Always confirm identity and privileges with the practice and licensing boards.

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