Brandon,
The PD-220 might have a 3 or 6 degree electrical downtilt, but it's not a stock item, so unless you know for sure, you'd be okay presuming most of the signal is directed to the horizon. Using DT will reduce your susceptibility to Kootenai - or anywhere else far away while looking down the mountain and concentrating signal there. It would probably improve your local coverage, too. Interference is a locational issue when you're on a mountaintop (and sometimes you have ducting which is a completely different issue). Any frequency you choose will more than likely have something on or immediately adjacent to it that you'll have to mitigate, and that could be exacerbated by the HAAT values on either end.
You probably should consider correcting your license right now. The Commission looks at a situs address or description for access, but when determining the power levels received, or if they have to use the site in resolving a dispute (not all interference cases cooperate), they look solely on the licensed parameters provided. Each of the coordinators goes solely on coordinates. In general, a move of less than 5 arc-seconds latitude or longitude (the distance in km differs based on where on the world you are), AMSL height of no greater than 2m, and no increase in ERP is considered a "de minimis" move in terms of coordination (you still have to modify the license with the correct data), but exceeding those values requires full coordination. There is some consideration given to stations already on the air, but that can't be guaranteed if they are fairly far off. As for reconciling coordinates to a situs address, a preparer, processor, or advisor may catch that, but your mileage may vary. Many presume the applicant has provided accurate information (and the applicant signs that they did on the main form - ultimately it's their responsibility). Sometimes another coordinator catches it during the "notification" process, and sometimes (but not always) it's corrected.
As far as changes, maybe it's always been there but your use has picked up and it's now noticeable, or maybe your predecessors didn't pick up on it or know what to do with it. Either way, if they're direct line of sight to you (which seems to be the case in at least one of their sites, the other one kind of diffracts over some peaks), you reach the point of diminishing returns with their power reduction.
Like I said earlier, feel free to PM or email me (email may work better, as my message folder is cluttered and usually maxed out) and we can continue this offline.