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KIRK P FOWLER SUDP
NPI 1760954960
Counselor - Addiction (Substance Use Disorder) in Skokomish Nation, WA

Active since December 28, 2018
100 N TRIBAL CENTER RD, SKOKOMISH NATION, WA 98584(360) 877-2008 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2024, Dec 28, 2018 (2 updates tracked since 2018).

About Kirk P Fowler Sudp NPPES

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

KIRK P FOWLER SUDP (NPI 1760954960) is an individual addiction (substance use disorder) provider in Skokomish Nation, Washington, licensed in Washington (CP60625039) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1760954960
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKIRK P FOWLERCredential: SUDP
Location Address100 N TRIBAL CENTER RDSkokomish Nation, WA 98584-9748
Mailing Address100 N Tribal Center RdSkokomish Nation, WA 98584-9748 · (360) 877-2008
Phone(360) 877-2008
Sole ProprietorNo
Enumeration DateDecember 28, 2018
Last NPPES UpdateJanuary 31, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2025
✔ NPI 1760954960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP60625039
100 N TRIBAL CENTER RD, Skokomish Nation, WA 98584
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Other Identifiers 1

Medicaid2077844WA

Other Providers at the Same Location NPPES 8

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

AMBER HANSON
Peer Specialist
100 N TRIBAL CENTER RD
SKOKOMISH NATION, WA 98584
Mason County (360) 426-5755
DR. VIRGINIA M LUJAN DDS
Dentist (General Practice)
100 N TRIBAL CENTER RD
SKOKOMISH NATION, WA 98584
Mason County (360) 426-5755
SKOKOMISH TRIBAL COUNCIL
Family Medicine
100 N TRIBAL CENTER RD
SKOKOMISH NATION, WA 98584
Mason County (360) 426-5755
ROBERT E WOODALL PA-C
Physician Assistant (Medical)
100 N TRIBAL CENTER RD
SKOKOMISH NATION, WA 98584
Mason County (360) 426-5755
SKOKOMISH TRIBAL COUNCIL
Dentist (General Practice)
100 N TRIBAL CENTER RD
SKOKOMISH NATION, WA 98584
Mason County (360) 426-5755
KATHERINE LINDLEY ARNP, FNP-BC
Nurse Practitioner (Family)
100 N TRIBAL CENTER RD
SKOKOMISH NATION, WA 98584
Mason County (360) 426-5755
DR. BRANDON LADOUX D.M.D.
Dentist (General Practice)
100 N TRIBAL CENTER RD
SKOKOMISH NATION, WA 98584
Mason County (360) 426-5755
MS. COURTNEY LYNN BUTLER CDPT
Counselor (Mental Health)
100 N TRIBAL CENTER RD
SKOKOMISH NATION, WA 98584
Mason County (360) 426-5755

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 Kirk Fowler's NPI number?

The NPI number for Kirk Fowler is 1760954960. It was assigned to this individual provider in the NPPES registry on December 28, 2018.

Where is Kirk Fowler located?

Kirk Fowler practices at 100 N Tribal Center Rd, Skokomish Nation, WA 98584. The listed phone number is (360) 877-2008.

What is Kirk Fowler's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kirk Fowler was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.