Healthcare Provider Details

I. General information

NPI: 1376281691
Provider Name (Legal Business Name): PAULA LUGINBUHL PHD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2022
Last Update Date: 08/25/2022
Certification Date: 08/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1161 LINCOLN ST
EUGENE OR
97401-3417
US

IV. Provider business mailing address

1161 LINCOLN ST
EUGENE OR
97401-3417
US

V. Phone/Fax

Practice location:
  • Phone: 619-851-5069
  • Fax:
Mailing address:
  • Phone: 541-636-2850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: PAULA LUGINBUHL
Title or Position: PSYCHOLOGIST/OWNER
Credential: PHD
Phone: 541-636-2850