Oregon Birth Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

OREGON BIRTH CENTER, LLC

Doing business as

Andaluz Birth Center
Andaluz Waterbirth Center

Practice address

3323 SW Naito Pkwy
Portland, OR 97239-4672

Phone

(503) 885-0228

Fax

(503) 862-2102

NPI assigned

Oct 19, 2023

Last updated

Oct 19, 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, CPPM

Title

Director of Operations

Phone

(630) 290-0090

Specialties & licenses 1

Addresses

Other names 2

• Andaluz Birth Center 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, LLC

  • Birthing Clinic/Center
  • Portland, OR
  • NPI 1043946460
  NPD tax ID

Locations

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1184406597",
    "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",
            "fax_number": "503-862-2102"
        },
        {
            "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",
            "fax_number": "503-862-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON BIRTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "CROSTON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "630-290-0090",
        "authorized_official_credential": "CPPM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andaluz Birth Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Andaluz Waterbirth Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.