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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