ANDALUZ BIRTH CENTER (NPI# 1922440775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922440775 |
| Entity Type | Organization |
| Organization Name | ANDALUZ BIRTH CENTER |
| Other Organization Name | ANDALUZ WATERBIRTH CENTER |
| Practice Address |
3323 Sw Naito Pkwy Portland OR 97239-4672 |
| Practice Telephone | 5038850228 |
| Mailing Telephone | 5038850228 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |
| Authorized Official Name | JENNIFER S GALLARDO (OWNER / PRACTICE MANAGER) |
| Authorized Official Telephone | 5038850228 |
| Authorized Official Credential | CPM LDM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | DEM-LD-1000044 | OR | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Andaluz Waterbirth Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518370154 | Andaluz Birth Center | Clinic/Center | 21865 Ne Hidden Springs Rd, Dundee, OR 97115-9124 | 2014-06-10 |
| 1598024671 | Andaluz Birth Center | Clinic/Center | 3323 Sw Naito Pkwy, Portland, OR 97239-4672 | 2012-05-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ANDALUZ BIRTH CENTER P.C. | 3323 Sw Naito Pkwy, Portland, OR 97239 |
| Street Address |
3323 SW NAITO PKWY |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-4672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962648691 | Patricia Couch | Midwife | 3323 Sw Naito Pkwy, Portland, OR 97239-4672 | 2008-12-30 |
| 1861831182 | Kathrine Ann Nadalsky | Advanced Practice Midwife | 3323 Sw Naito Pkwy, Portland, OR 97239-4672 | 2013-06-19 |
| 1073876975 | Carmen Cosby | Midwife, Lay | 3323 Sw Naito Pkwy, Portland, OR 97239-4672 | 2012-06-17 |
| 1598024671 | Andaluz Birth Center | Clinic/Center | 3323 Sw Naito Pkwy, Portland, OR 97239-4672 | 2012-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194546 | Whitney Wolfe | Midwife | 3604 Nw Marcotte Rd, Portland, OR 97229-2545 | 2019-09-30 |
| 1942859137 | Caley Brown | Midwife | 4711 Ne 60th Ave, Portland, OR 97218-2610 | 2019-09-10 |
| 1619534237 | Caitlin K Maddigan | Midwife | 4057 N Concord Ave, Portland, OR 97227-1013 | 2019-05-20 |
| 1477054674 | Mindy Harshman | Midwife | 5543 Ne Going St, Portland, OR 97218-2630 | 2018-02-22 |
| 1639677131 | Cassidy Dobek | Midwife | 9002 Ne Webster St, Portland, OR 97220-4628 | 2018-01-30 |
| 1093225575 | Charli Jo Zarosinski | Midwife | 4801 Ne 12th Ave, Portland, OR 97211-4619 | 2017-10-10 |
| 1508391392 | Desiree A Lang | Midwife | 5429 Se 114th Pl, Portland, OR 97266-3358 | 2017-04-28 |
| 1255876488 | Sarah Ehrlich Riedl | Midwife | 8963 N Haven Ave, Portland, OR 97203-3477 | 2016-12-26 |
| 1538610225 | Ariel Bernstein | Midwife | 80 Morning St, Apt 3, Portland, ME 04101-4428 | 2016-10-18 |
| 1861859035 | Megan Coppock | Midwife | 504 Ne Going St, Portland, OR 97211-3915 | 2016-01-19 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.