The Jackson Macy Clinic LLC
The Jackson Macy Clinic LLC is a Women's Health Nurse Practitioner in Tualatin, Oregon. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
19365 SW 65th Ave Ste 105Tualatin, OR 97062-9196
Phone: (503) 454-0018
Fax: (503) 848-3471
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Advanced Practice Midwife (primary) | Taxonomy 367A00000X |
|---|---|
| Women's Health Nurse Practitioner | Taxonomy 363LW0102X |
Record details
| NPI number | 1780390864 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelly Grant — Owner · (503) 724-8188 |
| Other names | The Jackson Macy Clinic |
| NPI enumerated | January 23, 2023 |
| Last updated in NPPES | November 21, 2023 |
| Certification date | November 21, 2023 |
| Mailing address | 19365 Sw 65th Ave Ste 105, Tualatin, OR 97062-9196 |
Other providers in Tualatin
-
Nicki Lynn Rogers, NP
19250 SW 65th Ave Ste 300, Tualatin, OR 97062-7707 · (503) 692-1242