WHITE BIRD CLINIC (NPI# 1700932357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700932357 |
| Entity Type | Organization |
| Organization Name | WHITE BIRD CLINIC |
| Other Organization Name | CHRYSALIS OUTPATIENT DRUG AND ALCOHOL TREATMENT |
| Practice Address |
341 E 12th Ave Eugene OR 97401-3212 |
| Practice Telephone | 5416831614 |
| Practice Fax Number | 5416813294 |
| Mailing Telephone | 5413428255 |
| Mailing Fax Number | 5413427987 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Authorized Official Name | MR. ROBERT DRITZ (CLINIC COORDINATOR) |
| Authorized Official Telephone | 5413428255 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 193888 | 05 |
| Other Name | Type Code |
|---|---|
| Chrysalis Outpatient Drug and Alcohol Treatment | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417444217 | White Bird Clinic | Counselor | 341 E. 12th, Eugene, OR 97401-3212 | 2018-04-17 |
| 1346747854 | White Bird Clinic | Counselor | 341 East 12th Ave, Eugene, OR 97401-3212 | 2018-04-11 |
| 1891292314 | White Bird Clinic | Counselor | 341 East 12th Avenue, Eugene, OR 97401-3212 | 2018-04-11 |
| 1598000960 | White Bird Clinic | Community/Behavioral Health | 341 E 12th Ave, Eugene, OR 97401-3212 | 2012-12-11 |
| 1740327717 | White Bird Clinic | Clinic/Center | 341 E 12th Ave, Eugene, OR 97401-3212 | 2007-01-31 |
| 1952457335 | White Bird Clinic | Clinic/Center | 1400 Mill St, Eugene, OR 97401-4259 | 2007-01-26 |
| 1700932795 | White Bird Clinic | Clinic/Center | 1400 Mill St, Eugene, OR 97401-4259 | 2007-01-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WHITE BIRD CLINIC | 341 E 12th Ave, Eugene, OR 97401-3212 |
| Oregon Corporations, Companies and Business Names | WHITE BIRD CLINIC | 341 E 12th Ave, Eugene, OR 97401 |
| Street Address |
341 E 12TH AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-3212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780773168 | Jonathan S Schwartz | Social Worker | 341 E 12th Ave, White Bird Clinic, Eugene, OR 97401-3212 | 2006-10-12 |
| 1063026227 | Bianca Gloria Marino | Counselor | 341 E 12th Ave, Eugene, OR 97401-3212 | 2020-09-04 |
| 1508474487 | Richard Arthur Graymer | Counselor | 341 E 12th Ave, Eugene, OR 97401-3275 | 2020-07-16 |
| 1447884838 | Simone Tessler | Counselor | 341 E 12th Ave, Eugene, OR 97401-3212 | 2020-02-25 |
| 1457983074 | Kristin Tillie Xander | Counselor | 341 E 12th Ave, Eugene, OR 97401-3275 | 2020-02-11 |
| 1538707575 | Jennifer Harter | Counselor | 341 E 12th Ave, Eugene, OR 97401-3212 | 2019-12-19 |
| 1639728843 | Abbey Carlstrom | Counselor | 341 E 12th Ave, Eugene, OR 97401-3212 | 2019-09-10 |
| 1073174843 | Lawrence Stentzel Iv | Counselor | 341 E 12th Ave, Eugene, OR 97401-3275 | 2019-06-24 |
| 1750945432 | April Oliver | Peer Specialist | 341 E 12th Ave, Eugene, OR 97401-3212 | 2019-04-27 |
| 1225692114 | Brenda Kosydar | Counselor | 341 E 12th Ave, Eugene, OR 97401-3275 | 2019-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750462230 | Prevention and Recovery Northwest | Clinic/Center | 1188 Olive St, Eugene, OR 97401-3547 | 2006-10-18 |
| 1659885606 | Sponsors, Inc. | Clinic/Center | 338 Highway 99 N, Eugene, OR 97402-2404 | 2017-11-29 |
| 1326433012 | Oslc Developments, Inc. - Clinic | Clinic/Center | 10 Shelton Mcmurphey Blvd, Eugene, OR 97401-4928 | 2015-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940298 | New Start Program | Clinic/Center | 12180 Se Market St, Portland, OR 97216-3923 | 2020-01-03 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1518419779 | Bend Iop | Clinic/Center | 20354 Empire Ave, Bend, OR 97703-5710 | 2016-11-03 |
| 1447605258 | Crestview Recovery Services, LLC | Clinic/Center | 6027 Se Belmont St, Portland, OR 97215-1927 | 2016-04-29 |
| 1669856571 | Portland Iop, LLC | Clinic/Center | 748 Se 181st Ave, Portland, OR 97233-4945 | 2015-07-10 |
| 1194150326 | Goforth Inspired LLC | Clinic/Center | 345 Ne Baker Creek Rd, Mcminnville, OR 97128-2019 | 2013-09-06 |
| 1376788729 | Total Results LLC | Clinic/Center | 251 Ne Garden Valley Blvd, Suite I, Roseburg, OR 97470-1498 | 2008-12-12 |
| 1225241441 | Crc Health Oregon, LLC | Clinic/Center | 777 Murphy Rd, Medford, OR 97504-8425 | 2007-05-07 |
| 1336287010 | Seasons Counseling, Inc | Clinic/Center | 730 Hawthorne Ave Ne, Salem, OR 97301-4674 | 2007-02-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.