Healthcare Provider Details

I. General information

NPI: 1831944735
Provider Name (Legal Business Name): LIGHTHOUSE PSYCHOLOGY OF OREGON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2024
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3469 HILYARD ST
EUGENE OR
97405-3815
US

IV. Provider business mailing address

294 ROCKRIDGE LOOP
EUGENE OR
97405-4850
US

V. Phone/Fax

Practice location:
  • Phone: 541-791-6654
  • Fax: 541-623-2959
Mailing address:
  • Phone: 541-791-6654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. PAULA MCWHIRTER
Title or Position: CEO
Credential: PH.D.
Phone: 541-791-6654