WHITE BIRD CLINIC NPI 1598000960

NPI Information

WHITE BIRD CLINIC is a federally qualified health center (fqhc) clinic center in Eugene, OR. WHITE BIRD CLINIC NPI is 1598000960. The provider is registered as an organization entity type.

The provider's business location address is:

341 E 12TH AVE
EUGENE, OR
ZIP 97401-212
Phone: (541) 342-8255
Fax: (541) 342-7987

The provider's authorized official is Benjamin I Brubaker .
The authorized official title is Clinic Coordinator and has the following contact phone number (541) 342-8255.

The CLIA number assigned to this NPI record is 38D0898680 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/11/2012 and was last updated on 6/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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