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KHIARA WILDMAN CRM
NPI 1841942844
Peer Specialist in Eugene, OR

Active since January 20, 2022
350 E 11TH AVE, EUGENE, OR 97401(541) 257-7313 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Khiara Wildman Crm NPPES

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

KHIARA WILDMAN CRM (NPI 1841942844) is an individual peer specialist in Eugene, Oregon and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1841942844
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKHIARA WILDMANCredential: CRM
Location Address350 E 11TH AVEEugene, OR 97401-3246
Mailing Address630 E 14th Ave Apt 3Eugene, OR 97401-4379 · (541) 650-4672
Phone(541) 257-7313
Sole ProprietorYes
Enumeration DateJanuary 20, 2022
NPPES CertifiedJanuary 20, 2022
✔ NPI 1841942844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
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.
350 E 11TH AVE, Eugene, OR 97401
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Other Identifiers 1

MedicaidAM56847EOR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELANIE ALBAN
Peer Specialist
350 E 11TH AVE
EUGENE, OR 97401
Lane County (541) 683-1641
KRYSTA MATSEN
Counselor (Addiction (Substance Use Disorder))
350 E 11TH AVE
EUGENE, OR 97401
Lane County (541) 683-1641
MISS KELSEY RENE FLEENOR
Counselor (Addiction (Substance Use Disorder))
350 E 11TH AVE
EUGENE, OR 97401
Lane County (541) 683-1641
TY OSBORNE CADC1
Counselor (Addiction (Substance Use Disorder))
350 E 11TH AVE
EUGENE, OR 97401
Lane County (541) 683-1641
ELIZABETH ROBERTS QMHP, CADCIII
Counselor (Addiction (Substance Use Disorder))
350 E 11TH AVE
EUGENE, OR 97401
Lane County (541) 683-1641
LARRY WEINERMAN CADC 2
Counselor (Addiction (Substance Use Disorder))
350 E 11TH AVE
EUGENE, OR 97401
Lane County (541) 683-1641
JENNIFER LYNN ROBERTS CADC-R
Counselor (Addiction (Substance Use Disorder))
350 E 11TH AVE
EUGENE, OR 97401
Lane County (541) 683-1641
MRS. STEFANIE BROSEMER CADCII CRM QMHA
Counselor (Addiction (Substance Use Disorder))
350 E 11TH AVE
EUGENE, OR 97401
Lane County (541) 683-1641

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 Khiara Wildman's NPI number?

The NPI number for Khiara Wildman is 1841942844. It was assigned to this individual provider in the NPPES registry on January 20, 2022.

Where is Khiara Wildman located?

Khiara Wildman practices at 350 E 11th Ave, Eugene, OR 97401. The listed phone number is (541) 257-7313.

What is Khiara Wildman's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Khiara Wildman was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.