Organization
ANDALUZ BIRTH CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER S GALLARDO CPM (DIRECTOR)
(503) 885-0228
Entity
Organization
Contact information
Practice address
19255 SW 65TH AVE STE 220, TUALATIN, OR 97062-9717
(503) 885-0228
(503) 691-5594
Mailing address
19255 SW 65TH AVE STE 220, TUALATIN, OR 97062-9717
(503) 885-0228
(503) 691-5594
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
297219
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297219
—
OR
Enumeration date
03/09/2007
Last updated
08/22/2020
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