| Organization Name: | ANDALUZ BIRTH CENTER |
| NPI Number: | 1518370154 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER S. GALLARDO (OWNER / PRACTICE DIRECTOR) |
| Mailing Address: | 21865 Ne Hidden Springs Rd Dundee |
| State: | OR US |
| Postal Code: | 971159124 |
| Phone Number: | 5038850228 |
| Fax Number: | |
| NPI Enumeration Date: | 06/10/2014 |
| NPI Last Update Date: | 06/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QB0400X |
| License Number: | 07-1631 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Birthing |
| Taxonomy Definition: | |