Organization · Type 2 NPI
Cowlitz Indian Tribe
Health Service Clinic/Center · Toledo, WA
NPI number
1861722258
Active
Practice location
107 Spencer Rd
Toledo, WA 98591
Fax (360) 353-9440
Mailing address
PO Box 2429
Longview, WA 98632-8486
Other practice locations
- 1 Cowlitz Way, Ridgefield, WA 98642-5487 · (360) 575-8275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
About NPI 1861722258
Cowlitz Indian Tribe's National Provider Identifier is 1861722258, issued on Jan 6, 2010. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Toledo, WA. The record was last updated on Jul 16, 2018.