Andaluz Waterbirth Center
Organization Active NPI Skilled Nursing Facility · Tualatin, OR
NPI 1356577936 · NPPES record last updated Jun 9, 2009
Key facts
- NPI
- 1356577936
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 071523 (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
- Organization subpart
- No
Authorized official
- Name
- Jennifer Gallardo, CPM,LDM
- Title
- Director
- Phone
- (503) 885-0228
Corporate family (same tax ID) 4
Practitioners 1
-
Amber Lee Zietz, CNM
National Provider Directory
- Tax ID family
- Andaluz Birth Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 071523 | OR | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006509 | Medicaid | OR |
Other providers in Tualatin, OR
- American Pain Relief, LLC
- Deborah Kempe Ames
- Amitha Gona M.D LLC
- Amy Green, PLLC
- Andaluz Birth Center P.C.
- Annie Anderson
- Aryn Renee Anderson
- Jason G Anderson
- Job Anderson
- Kristyn Elizabeth Anthony
All providers in Tualatin, OR · Skilled Nursing Facility in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2009. 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.