Organization
COWLITZ INDIAN TRIBE
Active
Parent organization
NORTHSTAR CLINIC
Other names
Cowlitz Indian Tribe, NorthStar Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHSTAR CLINIC
Authorized official
SHAVON KELLER (BILLING SUPERVISOR)
(360) 353-9431
Entity
Organization
Contact information
Practice address
7105 NE 40TH ST, VANCOUVER, WA 98661-3058
(360) 353-9431
(360) 353-9440
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(206) 721-5170
(206) 721-6288
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2012
Last updated
10/02/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us