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Organization
ANDALUZ BIRTH CENTER
Active
Organization
ANDALUZ BIRTH CENTER
Active
Other names
Andaluz Waterbirth Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER S GALLARDO CPM LDM (OWNER / PRACTICE MANAGER)
(503) 885-0228
Entity
Organization
Contact information
Practice address
3323 SW NAITO PKWY, PORTLAND, OR 97239-4672
(503) 885-0228
Mailing address
3323 SW NAITO PKWY, PORTLAND, OR 97239-4672
(503) 885-0228
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-1000044
OR
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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