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 / DIRECTOR)
(503) 885-0228
Entity
Organization
Contact information
Practice address
3323 SW NAITO PKWY, PORTLAND, OR 97239-4672
(503) 885-0228
(503) 274-0607
Mailing address
3323 SW NAITO PKWY, PORTLAND, OR 97239-4672
(503) 885-0228
(503) 274-0607
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
07-1596
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297219
—
OR
Enumeration date
05/10/2012
Last updated
05/10/2012
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