Andaluz Birth Center P.C.
Organization Active NPI Birthing Clinic/Center · Tualatin, OR
NPI 1306978010 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1306978010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Birthing Clinic/Center 261QB0400X
- License
- 297219 (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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jennifer S Gallardo, CPM
- Title
- Director
- Phone
- (503) 885-0228
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Andaluz Birth Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Birthing Clinic/Center | 261QB0400X | 297219 | OR | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 297219 | Medicaid | OR |
Other providers in Tualatin, OR
- Zubaidah Alrubaye
- American Pain Relief, LLC
- Deborah Kempe Ames
- Amitha Gona M.D LLC
- Amy Green, PLLC
- Andaluz Waterbirth Center
- Annie Anderson
- Aryn Renee Anderson
- Jason G Anderson
- Job Anderson
All providers in Tualatin, OR · Birthing Clinic/Center in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.