White Bird Clinic

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

WHITE BIRD CLINIC

Practice address

341 E 12TH Ave
Eugene, OR 97401-3212

Phone

(541) 342-8255

Fax

(541) 342-7987

NPI assigned

Dec 11, 2012

Last updated

Jun 3, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amee Evelyn MarkwardtNPI 1366766396

Title

Executive Director

Phone

(541) 683-1641

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598000960. Details of each certification follow.

• CCN 381970 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 381970

Legal name

WHITE BIRD CLINIC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 1, 2017

Last certification

Feb 1, 2017

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Feb 13, 1970 in OR

Enrollment address

341 E 12TH Ave
Eugene, OR 97401-3212

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/whitebirdclinic/r4/

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erica Lynne Goldsmith, MSW

  • Clinical Social Worker
  • Eugene, OR
  • NPI 1003287061
  Medicare reassignment Care Compare group NPD
• Justin Styles, FNP

  • Family Nurse Practitioner
  • Eugene, OR
  • NPI 1609481654
  Medicare reassignment Care Compare group NPD
• Kelly Ann Van Denend, FNP

  • Family Nurse Practitioner
  • Eugene, OR
  • NPI 1740837863
  Medicare reassignment Care Compare group NPD
• Margaret M Ackerman, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Vernon, WA
  • NPI 1972723906

  OR

  Medicare reassignment Care Compare group NPD
• Dana Lynn Omary, NP

  • Nurse Practitioner
  • Eugene, OR
  • NPI 1932612355
  Medicare reassignment Care Compare group
• Lindsey Adkisson, DNP, FNP-BC

  • Family Nurse Practitioner
  • Eugene, OR
  • NPI 1386266450
  Medicare reassignment NPD
• Gary E Brandt, MD

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1871571703
  Medicare reassignment NPD
• Lawrence Lyon, MD

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1467653766
  Medicare reassignment NPD
• Michael Pecue

  • Professional Counselor
  • Eugene, OR
  • NPI 1962855957
  Medicare reassignment NPD
• Todd Ryan Bomar, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kingsport, TN
  • NPI 1336730084

  OR

  Medicare reassignment NPD
• Kimberly Ann Cotton, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mountain View, CA
  • NPI 1194757385

  OR

  Medicare reassignment NPD
• Amee Evelyn Markwardt

  • Addiction (Substance Use Disorder) Counselor
  • Eugene, OR
  • NPI 1366766396
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1598000960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 E 12TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013212",
            "telephone_number": "541-342-8255",
            "fax_number": "541-342-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 E 12TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013212",
            "telephone_number": "541-342-8255",
            "fax_number": "541-342-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE BIRD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "MARKWARDT",
        "authorized_official_first_name": "AMEE",
        "authorized_official_middle_name": "EVELYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-683-1641"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Marie Whipple
• Whispering Pines Psychiatric-PC
• Ashley Whitaker, LMT
• Christine Whitaker, PA-C
• Joseph Howard Whitaker
• Adam White, MSW
• Annie Sarah White, LMT
• Carlee Ann White
• Cherie White
• Christopher White, CADC I

• Federally Qualified Health Center (FQHC) in Eugene, OR
• Providers in Eugene, OR by specialty
• Federally Qualified Health Center (FQHC) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.