Active NPI
Brett J White, PA-C
- Medical Physician Assistant
- Ellensburg, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA.PA.60785232
- Practice address
- 716 E Manitoba Ave
Ellensburg, WA 98926-3842 - Phone
- (509) 933-8777
- NPI assigned
- Oct 5, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA206563 | OR | |
| Medical Physician Assistant | 363AM0700X | PA.PA.60785232 | WA | Primary |
Addresses
Primary practice location
716 E Manitoba Ave
Ellensburg, WA 98926-3842
Mailing address
1200 Hilyard St Ste 110
Eugene, OR 97401-8112
Phone (458) 205-6011
Other practice location 1
1515 Village Dr Ste 120
Cottage Grove, OR 97424-9700
Phone (541) 767-5200
Other practice location 2
1200 Hilyard St Ste 110
Eugene, OR 97401-8112
Phone (458) 205-6011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6000
3355 Riverbend Dr
Suite 400
Springfield, OR 97477-8800
Phone (541) 222-2402
3377 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6000
4010 Aerial Way
Eugene, OR 97402-9757
Phone (613) 272-4978
Hospital & facility affiliations
- Peacehealth Cottage Grove Community Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA206563 | OR | MD | Medical Physician Assistant |
| PA.PA.60785232 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth Medical Group Cottage Grove | Current | Accepting new patients | |
| Peacehealth Medical Group | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients |
Locations
1515 Village Dr
Cottage Grove, OR 97424
Phone (541) 767-5200
1515 Village Dr
Ste 120
Cottage Grove, OR 97424
Phone (541) 767-5200
4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300
1200 Hilyard St
Ste S110
Eugene, OR 97401
Phone (458) 205-6011
1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253
Interoperability endpoints
- bwhite563770@direct.peacehealth.org
- bwhite03@yourcarecommunity.org
- bwhite@kittitasvalleyhealthcare.cernerdirect.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Eugene, OR
- NPI 1447207287
-
- Critical Access Hospital
- Cottage Grove, OR
- NPI 1902892391
-
- Multi-Specialty Clinic/Center
- Creswell, OR
- NPI 1780631267
-
- Birthing Clinic/Center
- Springfield, OR
- NPI 1881860856
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Cottage Grove, OR
- NPI 1902892391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1124538905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 HILYARD ST STE 110",
"city": "EUGENE",
"state": "OR",
"postal_code": "974018112",
"telephone_number": "458-205-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 E MANITOBA AVE",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263842",
"telephone_number": "509-933-8777"
}
],
"practiceLocations": [
{
"address_1": "1515 Village Dr Ste 120",
"address_purpose": "LOCATION",
"city": "Cottage Grove",
"state": "OR",
"postal_code": "974249700",
"country_code": "US",
"telephone_number": "541-767-5200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Hilyard St Ste 110",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974018112",
"country_code": "US",
"telephone_number": "458-205-6011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "BRETT",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-05",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "PA206563",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA.PA.60785232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.