Organization
OREGON BIRTH CENTER, LLC
Active
Organization
OREGON BIRTH CENTER, LLC
Active
Other names
Andaluz Birth Center, LLC, Andaluz WaterBirth Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA CROSTON (DOO)
(630) 793-2676
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
—
—
261Q00000X
Clinic/Center
—
—
261QB0400X
Birthing Clinic/Center
Primary
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-1672
BIRTH CENTER
OR
Enumeration date
07/27/2022
Last updated
04/04/2023
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