Cowlitz County Wellness

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

COWLITZ COUNTY WELLNESS

Practice address

403 Academy St
Kelso, WA 98626-4102

Phone

(206) 228-1247

NPI assigned

Jan 6, 2026

Last updated

Jan 6, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Russell Ray Jorgenson

Title

Manager

Phone

(206) 228-1247

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1902763592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 ACADEMY ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986264102",
            "telephone_number": "206-228-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 ACADEMY ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986264102",
            "telephone_number": "206-228-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWLITZ COUNTY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "JORGENSON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-228-1247"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Chiropractic
• Jesse Conley, SUDPT
• Ruthann Cook, RN, CMSRN, BSN
• Ciera Starr Cordrey
• Cowlitz 2 Fire & Rescue
• Cowlitz Family Health Center
• Cowlitz Family Health Center (Family Health Center)
• Julie Dalen, M.S.
• Tracy L Davis, MS
• Vanessa Davis, SUDPT

• Community Health Worker in Kelso, WA
• Providers in Kelso, WA by specialty
• Community Health Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.