our midwives



The 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, the Dundee Cottage, 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

CarrieCarrie 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!




JJenniferennifer Gallardo, CPM, LDM  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.



KatieKatie 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.


LauraLaura Alberg, CNM, WHNP-BC received her Bachelors of Science Degree in Nursing from Virginia Commonwealth University, in Richmond, Virginia. She immediately went to work in the Surgical Trauma Intensive Care Unit. During her time in the ICU she completed her Masters of Science Degree, specializing as a Women’s Health Nurse Practitioner. She knew her true passion was Midwifery and decided to return to school at Frontier Nursing University to pursue her dream. Once she finished her Certified Nurse Midwife degree she couldn’t stop, and is now working on her Doctor of Nursing Practice degree. Laura has worked for years as a nurse in Labor and Delivery, and as a Certified Nurse Midwife in the hospital, but she knew that out of hospital birth was her true calling. When she had the opportunity to move her family to work at Andaluz Waterbirth Center, she jumped on it. Laura is extremely excited be a part of the Andaluz family of midwives. She is passionate about natural labor and childbirth. She is an avid reader and loves going to the movies with her husband, Craig. Her greatest joy is being a mother to her daughter Madison, born with a midwife in 2012.


MarilynMarilyn 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!


Dr. Oni Tschudy, ND, CPM graduated with honors from Southwest College of Naturopathic Medicine in Tempe, Arizona as a Naturopathic Doctor and is also a Certified Professional Midwife with 12 years of midwifery experience. She loves everything about pregnancy, babies, and birth, and she especially loves that she can continue those bonds she creates with clients beyond the pregnancy and for the whole family. She enjoys caring for people of all ages using an integrated approach that allows for the best treatment available. She uses a wide array of methods to promote healing including: nutrition, botanical medicine, homeopathy, hydrotherapy, physical medicine, and, if necessary, pharmaceutical medications. In her free time, Dr. Oni enjoys spending time with her husband and two daughters exploring the beauty of Oregon, hiking, knitting, cooking, doing yoga, and carpentry.


Patricia Couch, CPM, LDM 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 700 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 300 births in that capacity. Patricia and her husband have a large blended family with five children. She enjoys fitness, especially CrossFit, nutrition, traveling, camping, gardening and taking care of her backyard chickens.

Patricia is also a Certified Nutrition Health Coach through the Institute for Integrative Nutrition, a Birth Arts International Birth Doula Trainer and a Mamalates Instructor. She teaches classes and workshops throughout the year at the Andaluz locations.


TraTracycy Lawson-Allen, CPM, LDM recognized after the birth of her first child that birth is a profound rite of passage in a woman’s life and that she wanted to do for others what her midwives had done for her. She arrived at Andaluz as a pregnant student midwife in the Fall of 2001 and it has been a home to her ever since. She apprenticed in a rural homebirth practice as well as another birth center during her studies between 2005 and 2008, but came to land back at Andaluz as a primary midwife in 2008. Tracy has been teaching childbirth education classes at Andaluz for over a decade now. She is passionate about holding the space for families to feel empowered by and in charge of their births, while offering evidence-based care. Native Oregonians, Tracy and her husband are enjoying raising their five children in Oregon’s natural beauty.

Tracy is also a Mamalates Instructor and is the Vice-President of the Oregon Midwifery Council.



Carmen Cosby, CPM, LDM 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.