1. Home
  2. Directory
  3. Washington
  4. Longview
  5. Clinic Center
  6. NPI Profile

COWLITZ TRIBAL TREATMENT
NPI 1528285038
Clinic/Center - Rehabilitation, Substance Use Disorder in Longview, WA

Active since April 19, 2007
900 FIR ST, LONGVIEW, WA 98632(360) 575-8275 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2024, Feb 3, 2023, Apr 24, 2020 and 4 more (7 updates tracked since 2016).

About Cowlitz Tribal Treatment NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COWLITZ TRIBAL TREATMENT (NPI 1528285038) is a healthcare organization registered as a rehabilitation, substance use disorder in Longview, Washington and active in the NPI registry since April 2007. The organization maintains 5 additional practice locations and lists Shavon Keller, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1528285038
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCOWLITZ INDIAN TRIBE
Location Address900 FIR STLongview, WA 98632
Mailing AddressPo Box 2429Longview, WA 98632-8486 · (360) 575-8275 · Fax (360) 575-1950
Phone(360) 575-8275
Organization SubpartYes
Authorized OfficialShavon KellerBilling Supervisor · (360) 353-9431
Enumeration DateApril 19, 2007
Last NPPES UpdateOctober 31, 20247 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1528285038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedGeneral PracticeTaxonomy 208D00000X
900 FIR ST, Longview, WA 98632
Open in Google Maps ↗

Other Names 1

Other NameCowlitz Tribal Treatment

Secondary Practice Locations 5

Location 11000 Davis PlDuPont, WA 98327-8781 · Phone (360) 946-2498 · Fax (360) 353-9440
Location 26450 Southcenter BlvdTukwila, WA 98188-2552 · Phone (206) 721-6288
Location 315455 65th Ave STukwila, WA 98188-2534 · Phone (360) 353-9431
Location 47700 NE 26th AveVancouver, WA 98665-0672 · Phone (360) 353-9431
Location 51044 11th AveLongview, WA 98632-2506 · Phone (360) 575-8275

Other Identifiers 1

Medicaid1994987WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASSIDY ROBERTS
Peer Specialist
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 353-9422
MRS. ANGELA NAILLON MA
Marriage & Family Therapist
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 353-9422
HEATHER MARIE KRAFT CG 61090134
Peer Specialist
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 575-3316
JESSE CHO
Nurse Practitioner (Psychiatric/Mental Health)
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (949) 878-8315
KYLEE BROOK LANCASTER SUDP-T
Counselor (Addiction (Substance Use Disorder))
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 353-9422
MRS. MIRANDA JAKSHA SUDP-T
Counselor (Addiction (Substance Use Disorder))
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 353-9422
TYLER WILLIAM STOCKTON CDPT
Counselor (Addiction (Substance Use Disorder))
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 575-3316
MRS. ANGELA LYNN MITCHELL SUDP, LICSWA
Counselor (Addiction (Substance Use Disorder))
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 575-3316

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cowlitz Indian Tribe's NPI number?

The NPI number for Cowlitz Indian Tribe is 1528285038. It was assigned to this organization in the NPPES registry on April 19, 2007. The provider is also known as Cowlitz Tribal Treatment.

Where is Cowlitz Indian Tribe located?

Cowlitz Indian Tribe is located at 900 Fir St, Longview, WA 98632. The listed phone number is (360) 575-8275.

What is Cowlitz Indian Tribe's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Cowlitz Indian Tribe was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.