NPIMap

Organization Active NPI

Andaluz Waterbirth Center

  • Skilled Nursing Facility
  • Tualatin, OR
National Provider Identifier
1356577936
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
071523 Issued in OR
Legal business name
ANDALUZ WATERBIRTH CENTER
Practice address
19255 SW 65TH Ave Ste 220
Tualatin, OR 97062-9717
Phone
(503) 885-0228
NPI assigned
Jun 9, 2009
Last updated
Jun 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Authorized official

Name
Jennifer Gallardo, CPM,LDMNPI 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
Skilled Nursing Facility 314000000X 071523 OR Primary

Addresses

Primary practice location

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

Mailing address

PO Box 657
Newberg, OR 97132-0657
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 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.

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1356577936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 657",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971320657",
            "telephone_number": "503-885-0228"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDALUZ WATERBIRTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "GALLARDO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-885-0228",
        "authorized_official_credential": "CPM,LDM"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": "071523",
            "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 Jun 9, 2009; 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.