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KHALIA TIDWELL
NPI 1326874017
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since September 10, 2024
6923 N FESSENDEN ST APT E, PORTLAND, OR 97203(971) 258-5803 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2024, Sep 10, 2024 (2 updates tracked since 2024).

About Khalia Tidwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHALIA TIDWELL (NPI 1326874017) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1326874017
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKHALIA TIDWELL
Location Address6923 N FESSENDEN ST APT EPortland, OR 97203-1894
Mailing Address8915 Sw Center StPortland, OR 97223-6307 · (503) 726-3690
Phone(971) 258-5803
Sole ProprietorNo
Enumeration DateSeptember 10, 2024
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1326874017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
6923 N FESSENDEN ST APT E, Portland, OR 97203
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khalia Tidwell's NPI number?

The NPI number for Khalia Tidwell is 1326874017. It was assigned to this individual provider in the NPPES registry on September 10, 2024.

Where is Khalia Tidwell located?

Khalia Tidwell practices at 6923 N Fessenden St Apt E, Portland, OR 97203. The listed phone number is (971) 258-5803.

What is Khalia Tidwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Khalia Tidwell was last updated on September 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.