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Organization
CONFEDERATED TRIBES OF THE CHEHALIS RESERVATION
Active
Organization
CONFEDERATED TRIBES OF THE CHEHALIS RESERVATION
Active
Other names
Chehalis Tsapowum Substance Use
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY COOMBS (DIRECTOR)
(360) 709-1772
Entity
Organization
Contact information
Practice address
420 HOWANUT RD, OAKVILLE, WA 98568
(360) 858-1660
(360) 273-2723
Mailing address
PO BOX 570, OAKVILLE, WA 98568-0570
(360) 858-1660
(360) 273-2723
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
14 0096 00
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14 0096 00
ADATSA APPROVAL NUMBER
WA
05
—
1992684
—
WA
Enumeration date
03/19/2007
Last updated
03/26/2026
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