We describe the development of a bird integrity index (BII) that uses bird assemblage information to assess human impacts on 13 stream reaches in the Willamette Valley, Oregon, USA. We used bird survey data to test 62 candidate metrics representing aspects of bird taxonomic richness, tolerance or intolerance to human disturbance, dietary preferences, foraging techniques, and nesting strategies that were affected positively or negatively by human activities. We evaluated the metric responsiveness by plotting each one against a measure of site disturbance that included aspects of land use/land cover, road density, riparian cover, and stream channel and substrate conditions. In addition, we eliminated imprecise and highly correlated (redundant) metrics, leaving 13 metrics for the final index. Individual metric scores ranged continuously from 0 to 10, and index scores were weighted to range from 0 to 100. Scores were calibrated using historical species information to set expectations for the number of species expected under minimally disturbed conditions. Site scores varied from 82 for the least disturbed stream reach to 8.5 for an urban site. We compared the bird integrity index site scores with the performance of other measures of biotic response developed during this study: a fish index of biointegrity (IBI) and two benthic macroinvertebrate metrics. The three assemblages agreed on the general level of disturbance; however, individual sites scored differently depending on specific indicator response to in-stream or riparian conditions. The bird integrity index appears to be a useful management and monitoring tool for assessing riparian integrity and communicating the results to the public. Used together with aquatic indicator response and watershed data, bird assemblage information contributes to a more complete picture of stream condition.