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Organization
COWLITZ INDIAN TRIBE
Active
Organization
COWLITZ INDIAN TRIBE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN KUTZ (EXECUTIVE DIRECTOR HHS)
(360) 575-8275
Entity
Organization
Contact information
Practice address
1000 DAVIS PL, DUPONT, WA 98327-8781
(206) 721-5170
(206) 721-6288
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 353-9431
(360) 353-9440
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
NULL
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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