Search › Washington › 104100000X
Samuel Tuckwin, LCSW
NPI 1669161014 · on the registry since 2023
Practice
- Address
- 900 Fir St
Longview, WA 98632 - Phone
- (360) 353-9422
- Fax
- (360) 353-9440
- Organisation at this address
- Cowlitz Indian Tribe
Cowlitz Indian Tribe
Mountain Smiles - Longview Dental, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Additional practice sites
- 620 Ne 2nd St, Gresham, OR
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YA0400X
104100000X - Licence states on file
- OR, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington