ANDALUZ BIRTH CENTER P.C.
Ambulatory Health at 65 Ave, Tualatin, OR

License number
Oregon 297219
Category
Ambulatory Health
Type
Birthing
Owner
Name: MRS. JENNIFER S GALLARDO CPM
Title: DIRECTOR
Phone: (503) 885-0228
Address
Address
19255 SW 65Th Ave STE 220, Tualatin, OR 97062
National Provider ID: 1306978010
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ANDALUZ BIRTH CENTER P.C. at bizstanding.com

ANDALUZ BIRTH CENTER PC

Tualatin, OR

Registration:
Feb 1, 2005
Addresses:
19255 SE 65 Ave STE 220, Tualatin, OR 97062 (Physical)
19255 SW 65 Ave STE 220, Tualatin, OR 97062 (Mailing)
State ID:
26558296
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Agent:
Fernando Gallardo,21865 NE Hidden Spg Rd, Dundee, OR 97115 (Physical)

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