THE JACKSON MACY CLINIC
NPI 1780390864
Advanced Practice Midwife in Tualatin, OR

Q: What is The Jackson Macy Clinic LLC's NPI number?

The NPI number for The Jackson Macy Clinic LLC is 1780390864. It was assigned to this organization in the NPPES registry on January 23, 2023. The provider is doing business as The Jackson Macy Clinic.

Q: What is The Jackson Macy Clinic LLC's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Active since January 23, 2023

19365 SW 65TH AVE STE 105, TUALATIN, OR 97062(503) 454-0018(503) 848-3471 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2023, Feb 8, 2023, Jan 23, 2023 (3 updates tracked since 2023).

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About The Jackson Macy Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE JACKSON MACY CLINIC (NPI 1780390864) is a healthcare organization registered as an advanced practice midwife in Tualatin, Oregon and active in the NPI registry since January 2023. The organization lists Kelly Grant, Owner, as its authorized official.

NPPES Registry Identity

NPI1780390864

Entity TypeOrganization

Primary Taxonomy367A00000X

Legal Business NameTHE JACKSON MACY CLINIC LLC

Location Address19365 SW 65TH AVE STE 105Tualatin, OR 97062-9196

Mailing Address19365 Sw 65th Ave Ste 105Tualatin, OR 97062-9196 · (503) 454-0018 · Fax (503) 848-3471

Phone(503) 454-0018

Fax(503) 848-3471

Organization SubpartNo

Authorized OfficialKelly GrantOwner · (503) 724-8188

Enumeration DateJanuary 23, 2023

Last NPPES UpdateNovember 21, 20233 updates tracked since enumeration

NPPES CertifiedNovember 21, 2023

✔ NPI 1780390864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X

19365 SW 65TH AVE STE 105, Tualatin, OR 97062

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Other Names 1

Doing Business AsThe Jackson Macy Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSIE AISHA KALEIKAU MA

Counselor (Mental Health)