ANDALUZ BIRTH CENTER P.C. (NPI# 1306978010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306978010 |
| Entity Type | Organization |
| Organization Name | ANDALUZ BIRTH CENTER P.C. |
| Practice Address |
19255 Sw 65th Ave Ste 220 Tualatin OR 97062-9717 |
| Practice Telephone | 5038850228 |
| Practice Fax Number | 5036915594 |
| Mailing Telephone | 5038850228 |
| Mailing Fax Number | 5036915594 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JENNIFER S GALLARDO (DIRECTOR) |
| Authorized Official Telephone | 5038850228 |
| Authorized Official Credential | CPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
297219 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 297219 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ANDALUZ BIRTH CENTER P.C. | 3323 Sw Naito Pkwy, Portland, OR 97239 |
| Street Address |
19255 SW 65TH AVE STE 220 |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-9717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336271147 | Jennifer S Gallardo | Midwife | 19255 Sw 65th Ave Ste 220, Tualatin, OR 97062-9717 | 2007-03-09 |
| 1124424197 | Pdx Natural Medicine | Naturopath | 19255 Sw 65th Ave Ste 220, Tualatin, OR 97062-9717 | 2014-11-18 |
| 1356577936 | Andaluz Waterbirth Center | Skilled Nursing Facility | 19255 Sw 65th Ave Ste 220, Tualatin, OR 97062-9717 | 2009-06-09 |
| 1982850566 | Tracy Lynn Lawson-allen | Midwife | 19255 Sw 65th Ave Ste 220, Tualatin, OR 97062-9717 | 2008-08-14 |
| 1174720221 | Jesica James | Midwife | 19255 Sw 65th Ave Ste 220, Tualatin, OR 97062-9717 | 2007-07-02 |
| 1982801635 | Sonya Esme Gregg | Midwife | 19255 Sw 65th Ave Ste 220, Tualatin, OR 97062-9717 | 2007-06-27 |
| 1992828800 | Robert Tatsumi | Orthopaedic Surgery | 19255 Sw 65th Ave Ste 220, Tualatin, OR 97062-9717 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 261QB0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Birthing |
| A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman’s residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. |
| Notes: Source: Summarized from Social Security Act [42 U.S.C. §1396d(1)(3)(B)] [1/1/2013: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641642 | Astoria Birth Center | Clinic/Center | 1406 Marine Dr, Astoria, OR 97103-3808 | 2020-05-19 |
| 1114496783 | Private Healthcare Facilities | Clinic/Center | 1803 Main St # A, Klamath Falls, OR 97601-2636 | 2018-11-13 |
| 1518370154 | Andaluz Birth Center | Clinic/Center | 21865 Ne Hidden Springs Rd, Dundee, OR 97115-9124 | 2014-06-10 |
| 1487978102 | Balanced Birth Midwifery, LLC | Clinic/Center | 6245 E Burnside St, Portland, OR 97215-1312 | 2010-03-24 |
| 1669704052 | Home Sweet Home Birth Center, LLC | Clinic/Center | 3013 N North Bank Rd, Otis, OR 97368-9754 | 2010-02-09 |
| 1407185689 | Klamath Women's Clinic,llc | Clinic/Center | 1803 Main St, Klamath Falls, OR 97601-2636 | 2009-12-16 |
| 1689739708 | Sacred Waters Birthing Center, Inc | Clinic/Center | 2035 W 12th Ave, Eugene, OR 97402-3522 | 2006-12-27 |
| 1316585953 | Believing In Birth Birth Center | Clinic/Center | 502 N 1st St, Silverton, OR 97381-1402 | 2019-12-13 |
| 1386294783 | Corvallis Birth and Women's Health Center, LLC | Clinic/Center | 2314 Nw Kings Blvd Ste A, Corvallis, OR 97330-3925 | 2019-09-17 |
| 1871088039 | Klamath Birth Center | Clinic/Center | 1803 Main St, Klamath Falls, OR 97601-2636 | 2018-06-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.