Organization · Type 2 NPI

Cowlitz Indian Tribe

Substance Use Disorder Rehabilitation Clinic/Center · Vancouver, WA

NPI number 1164649679 Active

Practice location

7700 NE 26th Ave
Vancouver, WA 98665-0672

Call (360) 397-8228 Map

Fax (360) 575-1950

Mailing address

P.o. Box 2429
Longview, WA 98632

Other practice locations

  • 900 Fir St, Longview, WA 98632-2544 · (360) 575-3316

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000XNone listed
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1164649679

Cowlitz Indian Tribe's National Provider Identifier is 1164649679, issued on Apr 19, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Vancouver, WA. The record was last updated on Jul 22, 2024.