Oregon Birth Center, LLC

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

OREGON BIRTH CENTER, LLC

Doing business as

Andaluz Birth Center, LLC
Andaluz WaterBirth Center

Practice address

3323 SW Naito Pkwy
Portland, OR 97239-4672

Phone

(503) 885-0228

NPI assigned

Jul 27, 2022

Last updated

Apr 4, 2023By 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

Samantha Croston

Title

Doo

Phone

(630) 793-2676

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 2

• Andaluz Birth Center, LLC Doing business as
• Andaluz WaterBirth Center Doing business as

Tax ID family

Andaluz Birth Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oregon Birth Center, LLC

  dba Andaluz Birth Center

  • Clinic/Center
  • Portland, OR
  • NPI 1184406597
  NPD tax ID

Practitioners 2

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.

• Amber Lee Zietz, CNM

  • Advanced Practice Midwife
  • Portland, OR
  • NPI 1134290406
  NPD (past)
• Renee Elizabeth Yeager, APRN, CNM

  • Advanced Practice Midwife
  • Columbus, OH
  • NPI 1528505880
  NPD (past)

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1043946460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 SW NAITO PKWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394672",
            "telephone_number": "503-885-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 SW NAITO PKWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394672",
            "telephone_number": "503-885-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON BIRTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2023-04-04",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "CROSTON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "DOO",
        "authorized_official_telephone_number": "630-793-2676"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BIRTH CENTER",
            "identifier": "07-1672",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andaluz Birth Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Andaluz Birth Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Andaluz WaterBirth Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oregon Anesthesia Associates LLC
• Oregon Anesthesiology Group PC
• Oregon Artificial Limb Co.
• Oregon Autism Care LLC
• Oregon Behavioral Health Solutions, LLC
• Oregon Birth Center, LLC (Andaluz Birth Center)
• Oregon Black Doula Association
• Oregon Black Doula Association LLC
• Oregon Bracing Services, LLC
• Oregon Cardiology Clinic PC

• Birthing Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Birthing Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.