our midwives


Andaluz-5CropThe midwives at Andaluz are Certified Professional Midwives and Certified Nurse Midwives licensed in Oregon. We are committed to providing skilled care that is safe and sensitive for you and your baby. Helping women and families through the transition of pregnancy and birth is a passion for us!

Because we believe that continuity of care is important, each client has three midwives that serve her throughout her prenatal, birth, and postpartum care. We attend births at our Portland Birth Center, Tualatin Birth Center, or your home.

 Just as a woman’s heart knows,
How and when to pump,
Her lungs to inhale,
And her hand to pull back from fire,
So she knows when and how to give birth.

- Virginia Di Orio

Carmen Cosby, CPM, LDMAndaluz-6 credits her first daughter with leading her to the path of midwifery. Shortly after having an empowering childbirth with her, she became a doula and childbirth teacher. At that time, she was living in North Carolina where there is limited choice in who can attend births. After helping to found “Where’s My Midwife?”, a nonprofit midwifery advocacy group, she sought out a midwifery apprenticeship in gentle birth. With the support of her husband, they packed their two girls in the car and drove cross country to Oregon, which they now call home.

Carmen received her Bachelors of Science in Education from Millersville University of Pennsylvania in 1997. She taught English in Japan for two years and then moved back to the United States and taught middle and high school students history and English. Carmen has been serving families in birth as a doula, apprentice, and now midwife since 2006. A natural teacher, she aspires to spread the word on birth options, informed choice and the amazing power of the birth process in transforming a woman into a mother. She enjoys spending time with her family, reading, hiking and traveling.



Carrie Duncan, CPM, LDM was called to midwifery in 1996 after the homebirth of her daughter, Sierra, in Canby, Oregon. She attended homebirths with her midwife for two years before apprenticing at Andaluz. She graduated from Birthingway College of Midwifery in 2003. She practiced in Portland as a home birth midwife and has lived and practiced in rural Jamaica. Carrie believes that informed choice is a corner stone in quality healthcare and is proud to facilitate women’s choices as a midwife. She has two children, loves the outdoors and enjoys traveling, although only on her months off call!





Dana Shibley, CPM, LDMAndaluz-8 began her quest to work with birth after her daughter Alder was born in the hospital without medications in 1993. The struggle to have a birth without interventions was surprising to her. In that transition from vulnerability to ecstasy while giving birth, she realized clearly what she was supposed to be when she grew up at the age of 30. Her second daughter Micah was born at home six years later. Dana has a BS in Biology and was a Peace Corps Volunteer for two years. She has taught childbirth classes for over 10 years. She graduated form Birthingway College of Midwifery in Portland and has been serving families in the Portland area as a primary midwife since 2003. In her off-call times, Dana likes to garden, make plant medicine, knit, play the guitar, hang out with her girls, and be near the water with her sweetheart.



Jennifer Gallardo, CPM, LDM Andaluz-3 had her first child in the hospital, in 1990. This impassioned her to begin her midwifery journey. She began studying midwifery in 1991, a few months before the home waterbirth of her second child. She became a licensed midwife through the Seattle Midwifery School Challenge process in California and has attended over one thousand births as a midwife. She has been a midwife since 1994 and she and her husband have opened three waterbirth centers, as well as a non-profit birth center in Haiti. She has nine children, ranging from two to 23 years old and two grandsons. She met her husband, Fernando, while they were attending Brigham Young University in 1986. Fernando currently helps with the administration of the birth centers. Jennifer loves to continue learning about midwifery (yes, really, on vacation her books of choice are all midwifery related!), go on family outings, garden, and play in the ocean.


Andaluz-4Katie Nadalsky, CNM, MSN entered the nursing profession in 2003 after graduating with a Bachelors of Science in Nursing at the University of  Nebraska Medical Center.  At the Nebraska Medical Center, she worked in Pediatric Intensive Care before relocating to Texas to be near family and pursue a career as a Lactation Consultant.  After seven years caring for premature babies in the Neonatal Intensive Care Unit with the Baylor Healthcare System, and after the births of her own three daughters, Katie’s desire to become a Lactation Consultant evolved into the dream of becoming a midwife.  Katie enjoyed the unique experience of Birth Assisting at the same Free-Standing Birth Center where her own youngest daughter was born!  In January of 2013, Katie graduated from Frontier Nursing University with a Masters of Science in Nursing and was blessed by the opportunity to become a Certified Nurse Midwife with Andaluz Waterbirth Center.  Katie believes an intuitive, natural birth is the safest way to bring most babies into the world.  She values shared decision-making with women and their families and she has endless gratitude to God for calling her to the profession of midwifery.  Katie loves to read, mountain bike with her husband, spend time with friends and family, and watch her girls grow!  Katie and her family are excited to explore their new surroundings in the Pacific Northwest.


DSC_5186Marilyn Milestone, CPM, LDM, IBCLC has been a midwife for over thirty years, assisting women on their birthing journeys. In 1980 she answered her calling by attending and completing a midwifery program in her hometown of Portland. From the beginning, Marilyn partnered with like-minded midwives and went on to be a part of several busy homebirth practices. Continuing education has always been at the forefront of Marilyn’s ability to bring current information to her clientele. In 2010 Marilyn added the credentials of Lactation Consultant to her repertoire, enabling her to round out her skills as a midwife and caregiver. She has worked in this capacity at Andaluz and the Birthingway Breastfeeding Clinic, supporting moms and babies. She has also worked as a clinical supervisor at Birthingway College of Midwifery. She now joins a wonderful blend of midwives at our birth center, where she will continue to bring her great passion, determination and compassion to the mothers she attends. At home, Marilyn is as active as she is at work. Country living, horseback riding, camping, gardening, dancing, knitting for the grandbaby, and the occasional good book. Life is good!

Patricia Couch, CPM, LDMPatricia was called to midwifery through the birth of her first son in a rural California hospital in 1995. She moved to Oregon shortly after that in 1996 and began her midwifery studies. She has had the opportunity to learn the art of midwifery from several midwives, midwifery study groups, workshops and through self-study for more than a decade and has been immersed in birth work since 1997. Patricia went on to birth her second son at home with the care of a midwife in 1999. With experiences ranging from homebirth, birth center and hospital birth, she has witnessed over 600 births and has learned a healthy respect and trust in pregnancy, labor, and the birthing process. She is passionate about gentle birth for both mother and baby and her goal is to help the people that she works with have an experience that is respectful, safe and empowering. Patricia began attending births as a primary midwife in 2006 and has attended over 200 births in that capacity. Patricia has a blended family of five children and a wonderful husband. She loves to go camping with her family when she’s off call, take care of her garden and chickens, and probably her favorite thing to do is go work out at CrossFit.


Tracy Lawson-Allen, CPM, LDMAndaluz-7 was called to midwifery after the birth of her first child in June of 2000. After that birth, she found herself reflecting in awe on all of the women in her life who had experienced such a profound rite of passage and on what an important day the birth of a child is in a woman’s life. She arrived at Andaluz as a pregnant student midwife in the Fall of 2001 and immediately recognized it as a home to her. She had her second baby at Andaluz and her third at home with Andaluz midwives. She began her apprenticeship in 2005 with a rural homebirth practice while teaching childbirth education at Andaluz. She was grateful to get the experience of apprenticing at two birth centers and was invited to attend births with several midwives around the state of Oregon as a student midwife. She came to work at Andaluz as a primary midwife in 2008 and continues to teach childbirth education at Andaluz. She is passionate about holding the space for families to feel empowered by and in charge of their births while offering evidence-based maternity care. Native Oregonians, Tracy and her husband are enjoying raising their family in Oregon’s natural beauty. They were thrilled to welcome their fourth child in January of 2012.