ANDALUZ BIRTH CENTER; NPI #1598024671

Contact Information

ANDALUZ BIRTH CENTER

3323 SW NAITO PKWY
PORTLAND, OR 97239-4672

Phone: 503-885-0228
Fax: 503-274-0607
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Birthing	261QB0400X

Indicates primary specialty

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NPI Profile & details for ANDALUZ BIRTH CENTER

NPI # 1598024671

LBN Legal business name ANDALUZ BIRTH CENTER

Authorized official JENNIFER GALLARDO - (OWNER / DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/10/2012

Last updated 05/10/2012 - About 14 years ago

Identifiers

OR	License #	07-1596
OR	Medicaid	297219

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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