NPIMap

Organization Active NPI

Andaluz Birth 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
Practice address
3323 SW Naito Pkwy
Portland, OR 97239-4672
Phone
(503) 885-0228
Fax
(503) 274-0607
NPI assigned
May 10, 2012
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, LDM
Title
Owner / Director
Phone
(503) 885-0228

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 identifiers 1

IdentifierTypeStateIssuer
297219MedicaidOR

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.

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297219",
            "state": "OR"
        }
    ],
    "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.