KHIARA WILDMAN CRM NPI 1841942844

NPI Information

Khiara Wildman, CRM is a peer specialist in Eugene, OR. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Khiara Wildman, CRM NPI is 1841942844. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

350 E 11TH AVE
EUGENE, OR
ZIP 97401-246
Phone: (541) 257-7313

The enumeration date for this NPI number is 1/20/2022 and was last updated on 1/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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