| Cowlitz Family Health Center | |
|
621 Grade St Kelso WA 98626-2606 | |
| (360) 636-3892 | |
| (360) 232-8400 |
| Full Name | Cowlitz Family Health Center |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 621 Grade St, Kelso, Washington |
| Authorized Official Name and Position | James J Coffee (CEO) |
| Authorized Official Contact | 3606363892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cowlitz Family Health Center 1057 12th Ave Longview WA 98632-2509 Ph: (360) 636-3892 | Cowlitz Family Health Center 621 Grade St Kelso WA 98626-2606 Ph: (360) 636-3892 |
| NPI Number | 1104243534 |
|---|---|
| Provider Enumeration Date | 03/24/2014 |
| Last Update Date | 05/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104243534 | NPI | - | NPPES |
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