| Cowlitz Tribal Treatment | |
|
15455 65th Ave S Tukwila WA 98188 | |
| (206) 721-5170 | |
| (206) 721-6288 |
| Full Name | Cowlitz Tribal Treatment |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 15455 65th Ave S, Tukwila, Washington |
| Authorized Official Name and Position | Shavon Keller (BILLING SUPERVISOR) |
| Authorized Official Contact | 3603539431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cowlitz Tribal Treatment Po Box 2429 Longview WA 98632-8486 Ph: (206) 721-5170 | Cowlitz Tribal Treatment 15455 65th Ave S Tukwila WA 98188 Ph: (206) 721-5170 |
| NPI Number | 1538412630 |
|---|---|
| Provider Enumeration Date | 10/26/2012 |
| Last Update Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538412630 | NPI | - | NPPES |
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