NPIMap

Organization Active NPI

Andaluz Birth Center P.C.

  • Birthing Clinic/Center
  • Tualatin, OR
National Provider Identifier
1306978010
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
License
297219 Issued in OR
Legal business name
ANDALUZ BIRTH CENTER P.C.
Practice address
19255 SW 65TH Ave Ste 220
Tualatin, OR 97062-9717
Phone
(503) 885-0228
Fax
(503) 691-5594
NPI assigned
Mar 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jennifer S Gallardo, CPMNPI 1336271147
Title
Director
Phone
(503) 885-0228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X 297219 OR Primary

Addresses

Primary practice location

19255 SW 65TH Ave Ste 220
Tualatin, OR 97062-9717

Mailing address

19255 SW 65TH Ave Ste 220
Tualatin, OR 97062-9717
Phone (503) 885-0228

National Provider Directory

National Provider Directory
Tax ID family
Andaluz Birth Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306978010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19255 SW 65TH AVE STE 220",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629717",
            "telephone_number": "503-885-0228",
            "fax_number": "503-691-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19255 SW 65TH AVE STE 220",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629717",
            "telephone_number": "503-885-0228",
            "fax_number": "503-691-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDALUZ BIRTH CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALLARDO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-885-0228",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "OR",
            "license": "297219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.