# CONFEDERATED TRIBES OF THE CHEHALIS RESERVATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chehalis Tsapowum Substance Use
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548384126
- **Authorized official:** KIMBERLY COOMBS (DIRECTOR)
- **Authorized official phone:** (360) 709-1772

## Contact information

- **Practice address:** 420 HOWANUT RD, OAKVILLE, WA 98568
- **Practice address phone:** (360) 858-1660
- **Practice address fax:** (360) 273-2723
- **Mailing address:** PO BOX 570, OAKVILLE, WA 98568-0570
- **Mailing address phone:** (360) 858-1660
- **Mailing address fax:** (360) 273-2723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | 14 0096 00 | WA | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 03/26/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 14 0096 00 | ADATSA APPROVAL NUMBER | WA |
| 05 | — | 1992684 | — | WA |