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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