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COWLITZ INDIAN TRIBAL HEALTH SERVICES
NPI 1972962165
Preventive Medicine - Public Health & General Preventive Medicine in Vancouver, WA

Active since February 16, 2016
7700 NE 26TH AVE, VANCOUVER, WA 98665(360) 397-8228(360) 575-1950 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2023, Mar 23, 2018, Mar 16, 2018 and 1 more (4 updates tracked since 2016).

About Cowlitz Indian Tribal Health Services NPPES

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

COWLITZ INDIAN TRIBAL HEALTH SERVICES (NPI 1972962165) is a healthcare organization registered as a public health & general preventive medicine in Vancouver, Washington and active in the NPI registry since February 2016. The organization lists Shavon Keller, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1972962165
Entity TypeOrganization
Primary Taxonomy2083P0901X
Legal Business NameCOWLITZ INDIAN TRIBE
Location Address7700 NE 26TH AVEVancouver, WA 98665-0672
Mailing AddressPo Box 2429Longview, WA 98632-8486 · (360) 397-8228 · Fax (360) 575-1950
Phone(360) 397-8228
Fax(360) 575-1950
Organization SubpartYes
Authorized OfficialShavon KellerBilling Supervisor · (360) 353-9431
Enumeration DateFebruary 16, 2016
Last NPPES UpdateFebruary 3, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2023
✔ NPI 1972962165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
7700 NE 26TH AVE, Vancouver, WA 98665
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Other Names 1

Other NameCowlitz Indian Tribal Health Services

Other Providers at the Same Location NPPES 9

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

DAVID ALDEN PULLIAM LMHC
Counselor (Mental Health)
7700 NE 26TH AVE
VANCOUVER, WA 98665
Clark County (360) 397-8228
KARA D FRIZZELL
Social Worker (Clinical)
7700 NE 26TH AVE
VANCOUVER, WA 98665
Clark County (360) 397-8228
MARKELL PETERSEN SUDP
Counselor (Addiction (Substance Use Disorder))
7700 NE 26TH AVE
VANCOUVER, WA 98665
Clark County (360) 397-8228
COWLITZ INDIAN TRIBE
Clinic/Center (Rehabilitation, Substance Use Disorder)
7700 NE 26TH AVE
VANCOUVER, WA 98665
Clark County (360) 397-8228
ALLISON LYNN JONES MA
Counselor (Mental Health)
7700 NE 26TH AVE
VANCOUVER, WA 98665
Clark County (360) 397-8228
JAYNELLE KOPP SUDP
Counselor (Addiction (Substance Use Disorder))
7700 NE 26TH AVE
VANCOUVER, WA 98665
Clark County (360) 397-8228
ROXANNE MARIE WEINER LMHC
Counselor (Mental Health)
7700 NE 26TH AVE
VANCOUVER, WA 98665
Clark County (360) 397-8228
JENNIFER FRESH PMHNP, ARNP
Nurse Practitioner (Psychiatric/Mental Health)
7700 NE 26TH AVE
VANCOUVER, WA 98665
Clark County (360) 397-8228

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 1972962165. It was assigned to this organization in the NPPES registry on February 16, 2016. The provider is also known as Cowlitz Indian Tribal Health Services.

Where is Cowlitz Indian Tribe located?

Cowlitz Indian Tribe is located at 7700 NE 26th Ave, Vancouver, WA 98665. The listed phone number is (360) 397-8228.

What is Cowlitz Indian Tribe's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

When was this NPI record last updated?

The NPPES record for Cowlitz Indian Tribe was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.