ANDALUZ BIRTH CENTER (NPI# 1598024671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598024671 |
Entity Type | Organization |
Organization Name | ANDALUZ BIRTH CENTER |
Other Organization Name | ANDALUZ WATERBIRTH CENTER |
Practice Address |
3323 Sw Naito Pkwy Portland OR 97239-4672 |
Practice Telephone | 5038850228 |
Practice Fax Number | 5032740607 |
Mailing Telephone | 5038850228 |
Mailing Fax Number | 5032740607 |
Enumeration Date | 2012-05-10 |
Last Update Date | 2012-05-10 |
Authorized Official Name | JENNIFER S. GALLARDO (OWNER / DIRECTOR) |
Authorized Official Telephone | 5038850228 |
Authorized Official Credential | CPM, LDM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
07-1596 | OR | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 297219 | 05 |
Other Name | Type Code |
---|---|
Andaluz Waterbirth Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518370154 | Andaluz Birth Center | Clinic/Center | 21865 Ne Hidden Springs Rd, Dundee, OR 97115-9124 | 2014-06-10 |
1922440775 | Andaluz Birth Center | Midwife | 3323 Sw Naito Pkwy, Portland, OR 97239-4672 | 2013-07-22 |
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 |
3323 SW NAITO PKWY |
City | PORTLAND |
State | OR |
Zip Code | 97239-4672 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962648691 | Patricia Couch | Midwife | 3323 Sw Naito Pkwy, Portland, OR 97239-4672 | 2008-12-30 |
1922440775 | Andaluz Birth Center | Midwife | 3323 Sw Naito Pkwy, Portland, OR 97239-4672 | 2013-07-22 |
1861831182 | Kathrine Ann Nadalsky | Advanced Practice Midwife | 3323 Sw Naito Pkwy, Portland, OR 97239-4672 | 2013-06-19 |
1073876975 | Carmen Cosby | Midwife, Lay | 3323 Sw Naito Pkwy, Portland, OR 97239-4672 | 2012-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
Find all providers in zip 97239 |
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 |
---|---|---|---|---|
1487978102 | Balanced Birth Midwifery, LLC | Clinic/Center | 6245 E Burnside St, Portland, OR 97215-1312 | 2010-03-24 |
1619415437 | Women's Healthcare Associates, LLC | Clinic/Center | 10566 Se Washington St, Portland, OR 97216-2809 | 2017-02-01 |
1578902474 | Glow Midwifery | Clinic/Center | 4031 Se Salmon St, Portland, OR 97214-4434 | 2013-06-24 |
1558607812 | Fertile Ground Family Center, LLC | Clinic/Center | 3575 Ne Broadway St, Portland, OR 97232-1820 | 2012-12-13 |
1952545766 | Alma Midwifery Services | Clinic/Center | 1608 Se Ankeny St, Portland, OR 97214-1448 | 2009-04-23 |
1083810782 | Natural Childbirth & Family Clinic | Clinic/Center | 10360 Ne Wasco St, Portland, OR 97220-3927 | 2007-06-21 |
1386625234 | Natural Childbirth & Family Clinic | Clinic/Center | 10360 Ne Wasco St, Portland, OR 97220-3927 | 2005-11-08 |
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 |
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 |
1235622408 | Bella Vie Gentle Birth Center LLC | Clinic/Center | 13160 Jerusalem Hill Rd Nw, Salem, OR 97304-9622 | 2018-06-12 |
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.