NPIMap

Organization Active NPI

Andaluz Birth Center

Doing business as Andaluz Waterbirth Center

  • Birthing Clinic/Center
  • Portland, OR
National Provider Identifier
1598024671
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
License
07-1596 Issued in OR
Legal business name
ANDALUZ BIRTH CENTER
Doing business as
Andaluz Waterbirth Center
Practice address
3323 SW Naito Pkwy
Portland, OR 97239-4672
Phone
(503) 885-0228
Fax
(503) 274-0607
NPI assigned
May 10, 2012
Last updated
May 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Jennifer S. Gallardo, CPM, LDMNPI 1336271147
Title
Owner / 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 07-1596 OR Primary

Addresses

Primary practice location

3323 SW Naito Pkwy
Portland, OR 97239-4672

Mailing address

3323 SW Naito Pkwy
Portland, OR 97239-4672
Phone (503) 885-0228

Other names 1

  • Andaluz Waterbirth Center Doing business as

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.

Locations

3323 SW Naito Pkwy
Portland, OR 97239
Phone (503) 755-8328

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": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1598024671",
    "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": "503-274-0607"
        },
        {
            "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": "503-274-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDALUZ BIRTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "GALLARDO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "503-885-0228",
        "authorized_official_credential": "CPM, LDM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "OR",
            "license": "07-1596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andaluz Waterbirth Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.