WHITE BIRD CLINIC (NPI# 1740327717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740327717 |
| Entity Type | Organization |
| Organization Name | WHITE BIRD CLINIC |
| Other Organization Name | WHITE BIRD COUNSELING PROGRAM |
| Practice Address |
341 E 12th Ave Eugene OR 97401-3212 |
| Practice Telephone | 5413428255 |
| Practice Fax Number | 5413427987 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |
| Authorized Official Name | ROBERT DRITZ (CLINIC COORDINATOR) |
| Authorized Official Telephone | 5143428255 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | LPC TONI FUDGE | 1975 | 01 |
| OR | LPC CORI TAGGART | C0375 | 01 |
| OR | LPC CHUCK GERARD | C0701 | 01 |
| OR | LPC MERRIE SENNETT | C1805 | 01 |
| OR | LPC SUE KRAYER | C1374 | 01 |
| Other Name | Type Code |
|---|---|
| White Bird Counseling Program | 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 |
| 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 |
| 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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154802403 | Dr. Asha Stephen, LLC | Clinic/Center | 1234 Pearl St Ste 7, Eugene, OR 97401-3642 | 2018-08-24 |
| 1891272324 | Cressall Psychiatric LLC | Clinic/Center | 240 E 12th Ave, Eugene, OR 97401-3245 | 2018-07-26 |
| 1497355515 | Anjali Dhar, Psyd, LLC | Clinic/Center | 1127 Lincoln St, Eugene, OR 97401-3695 | 2020-10-28 |
| 1134788946 | Eugene Psychotherapy LLC | Clinic/Center | 132 E Broadway Ste 301, Eugene, OR 97401-3154 | 2019-06-06 |
| 1265609184 | Center for Family Development, Inc. | Clinic/Center | 1258 High St, Eugene, OR 97401-3238 | 2008-05-09 |
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|---|---|---|---|---|
| 1265039564 | Embodied Life Therapy Center LLC | Clinic/Center | 6906 N Richards St, Portland, OR 97203-6138 | 2020-10-08 |
| 1720685696 | Pragmatic Healing LLC | Clinic/Center | 3930 Sw Plum St Apt 1, Portland, OR 97219-6046 | 2020-10-05 |
| 1639793367 | Northwest Geriactrics | Clinic/Center | 10365 Se Sunnyside Rd Ste 340, Clackamas, OR 97015-5751 | 2020-05-28 |
| 1366065872 | Caring Hands Residential Services LLC | Clinic/Center | 16220 Se Mckinley Ave, Clackamas, OR 97015-9418 | 2020-05-19 |
| 1972139947 | Kevin Ryan PC | Clinic/Center | 119 E 2nd St Ste 210, The Dalles, OR 97058-1796 | 2020-03-21 |
| 1083240386 | Peace of Mind Functional Medicine | Clinic/Center | 151 Sw Shevlin Hixon Dr Ste 201, Bend, OR 97702-3233 | 2020-03-18 |
| 1467086215 | Deborah Ann Jewell | Clinic/Center | 5627 Ne Simpson St, Portland, OR 97218-2329 | 2020-03-01 |
| 1174023808 | Blake Locher Counseling, LLC | Clinic/Center | 1020 Sw Taylor St Ste 449, Portland, OR 97205-2556 | 2018-02-19 |
| 1134633100 | Paul Myers, Ph.d., LLC | Clinic/Center | 5441 Sw Macadam Ave Ste 104, Portland, OR 97239-3821 | 2017-11-28 |
| 1891206785 | Janz Consulting | Clinic/Center | 1020 Sw Taylor St Ste 635, Portland, OR 97205-2524 | 2017-10-18 |
| 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.