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Contact Information

NOVALUNA S LILAH, YSS, PSS, CRM, CGRM
440 MAXWELL ROAD
EUGENE, OR97404
 Phone: 541-321-0872
 Fax: 541-632-8952
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for NOVALUNA S LILAH · (Male)

NPI Number 1174364376
Status Active
Credentials YSS, PSS, CRM, CGRM
Entity Individual
Enumeration date 06/03/2024
Last updated 09/10/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • OR Medicaid 1326866864
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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