The Jackson Macy Clinic – Advanced Practice Midwife, NPI 1780390864

The Jackson Macy Clinic is a healthcare provider. based in Tualatin, Oregon. specializing in Advanced Practice Midwife. The NPI Number for The Jackson Macy Clinic is 1780390864

Main info

Organization
Name
The Jackson Macy Clinic
NPI
1780390864
Phone
(503) 454-0018
Address
19365 SW 65TH AVE STE 105
Authorized Official
KELLY GRANT OWNER WHCNP-BC, CNM
Enumeration Date
23 January 2023
Last Update Date
21 November 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness80
Years active:3State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for The Jackson Macy Clinic

  • 19365 SW 65TH AVE STE 105

    TUALATIN, OR 970629196

    Phone: (503) 454-0018

    Fax: (503) 848-3471

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97062)

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Reviews

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Frequently asked questions

Is there an official ID for The Jackson Macy Clinic in U.S. healthcare records?
The official identifier for The Jackson Macy Clinic is NPI 1780390864.
Is The Jackson Macy Clinic shown as active in public data?
Registry records indicate The Jackson Macy Clinic maintains an active NPI.
What expertise is attributed to The Jackson Macy Clinic?
The Jackson Macy Clinic's specialty line reads Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
What locale is associated with The Jackson Macy Clinic?
Directory geography for The Jackson Macy Clinic centers on Tualatin, Oregon.
When was this NPI issued?
Enumeration for The Jackson Macy Clinic is noted as January 23, 2023 where the registry provides it.

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