WHITE BIRD CLINIC (NPI# 1700932795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700932795 |
| Entity Type | Organization |
| Organization Name | WHITE BIRD CLINIC |
| Other Organization Name | WHITE BIRD MEDICAL CLINIC |
| Practice Address |
1400 Mill St Eugene OR 97401-4259 |
| Mailing Address |
341 E 12th Ave Eugene OR 97401-3212 |
| Practice Telephone | 5414844800 |
| Practice Fax Number | 5413448351 |
| Mailing Telephone | 5413428255 |
| Mailing Fax Number | 5413427987 |
| Enumeration Date | 2007-01-25 |
| 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 | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 213439 | 05 |
| Other Name | Type Code |
|---|---|
| White Bird Medical Clinic | 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 |
| 1700932357 | White Bird Clinic | Clinic/Center | 341 E 12th Ave, Eugene, OR 97401-3212 | 2007-01-26 |
| 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 |
1400 MILL ST |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-4259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467653766 | Lawrence Lyon | Family Medicine | 1400 Mill St, Eugene, OR 97401-4259 | 2007-05-31 |
| 1386266450 | Lindsey Adkisson | Nurse Practitioner | 1400 Mill St, Eugene, OR 97401-4259 | 2020-05-12 |
| 1083182711 | Christian Malcolm Snead | Dentist | 1400 Mill St, Eugene, OR 97401-4259 | 2018-11-12 |
| 1104319805 | Cari Nicole Goyne | Dentist | 1400 Mill St, Eugene, OR 97401-4259 | 2018-06-08 |
| 1932612355 | Dana Lynn Omary | Family Medicine | 1400 Mill St, Eugene, OR 97401-4259 | 2017-11-07 |
| 1821477696 | White Bird Mobile Dental | Clinic/Center | 1400 Mill St, Eugene, OR 97401-4259 | 2015-05-26 |
| 1902285133 | Christianna Hannegan | Case Manager/Care Coordinator | 1400 Mill St, Eugene, OR 97401-4259 | 2015-05-20 |
| 1194074237 | Matilde Jeanette Vogt | Dental Hygienist | 1400 Mill St, Eugene, OR 97401-4259 | 2012-09-05 |
| 1164651634 | Philip Benjamin Meyer | Dentist | 1400 Mill St, Eugene, OR 97401-4259 | 2009-07-06 |
| 1275776080 | Molly West Anderson | Family Medicine | 1400 Mill St, Eugene, OR 97401-4259 | 2009-04-08 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235672478 | Icco LLC | Clinic/Center | 2710 Willamette Street, Eugene, OR 97405 | 2016-11-21 |
| 1821549536 | Eugene Urgent Care | Clinic/Center | 1800 Coburg Rd., Eugene, OR 97408 | 2016-10-18 |
| 1578928818 | Icco LLC | Clinic/Center | 1800 Coburg Road, Eugene, OR 97401 | 2015-12-30 |
| 1467926329 | Imhealth | Clinic/Center | 1029 River Rd, Eugene, OR 97404-3242 | 2019-01-14 |
| 1982070025 | Priya J Carden Md LLC | Clinic/Center | 1161 Lincoln St, Eugene, OR 97401-3417 | 2015-08-12 |
| 1619399235 | Essential Medical | Clinic/Center | 131 E 11th Ave, Eugene, OR 97401-3511 | 2014-01-16 |
| 1871930909 | Kernan Family Practice LLC | Clinic/Center | 120 Shelton Mcmurphey Blvd Ste 300, Eugene, OR 97401-8718 | 2013-05-30 |
| 1841539004 | Seven Springs Center for Health Inc | Clinic/Center | 1355 Oak St, Suite 100, Eugene, OR 97401-3566 | 2013-02-07 |
| 1255693313 | Gutierrez Holistic Family Medicine LLC | Clinic/Center | 3575 Donald St, Suite 110, Eugene, OR 97405-4753 | 2012-06-13 |
| 1649407362 | Leigh Saint-louis Md LLC | Clinic/Center | 492 E 13th Ave, Eugene, OR 97401-4268 | 2009-06-20 |
| Find all providers in EUGENE | ||||
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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.