| NPI | 1922440775 |
|---|---|
| Doing Business As | ANDALUZ WATERBIRTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER S GALLARDO Owner / Practice Manager 503-885-0228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: OR DEM-LD-1000044) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |