Healthcare Provider Details

I. General information

NPI: 1821928235
Provider Name (Legal Business Name): KIANA MANNING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 E 11TH AVE
EUGENE OR
97401-3247
US

IV. Provider business mailing address

648 E 17TH AVE APT 17
EUGENE OR
97401-4592
US

V. Phone/Fax

Practice location:
  • Phone: 541-484-4428
  • Fax:
Mailing address:
  • Phone: 615-559-5264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: