institution
Cowlitz Indian Tribe
Primary Care Clinic/Center in Longview, Washington
NPI 1346465101

Cowlitz Indian Tribe is a Primary Care Clinic/Center based in Longview, WA and is specialized in Primary Care. Cowlitz Indian Tribe practices in Longview, WA. The NPI Number for Cowlitz Indian Tribe is 1346465101 and holds a License No. (Washington).

The current practice location address for Cowlitz Indian Tribe is 1044 11Th Ave, Longview, WA and can be reached out via phone at 360-575-8275 and via fax at 360-575-1950.

Location: 1044 11Th Ave, Longview, WA, 98632-8486
institution
Provider Profile Details
NPI Number
1346465101
Provider Name
Cowlitz Indian Tribe
Credential
Provider Entity Type
Organization
Address
1044 11Th Ave, Longview, WA, 98632-8486
Phone Number
360-575-8275
Fax Number
360-575-1950
Provider Enumeration Date
04/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7122898 05 WA
institution
Provider Business Practice Location Address Details
Address
1044 11Th Ave
City
State
Zip
98632-2506
Phone Number
360-575-8275
Fax Number
360-575-1950
person
Provider Business Mailing Address Details
Address
1044 11Th Ave
City
State
Zip
98632-2506
Phone Number
360-575-8275
Fax Number
360-575-1950
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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