The Jackson Macy Clinic LLC
NPI #1780390864 in Tualatin, Oregon
Provider Information
- NPI Number
- 1780390864
- Entity Type
- Organization
- Organization Name
- The Jackson Macy Clinic LLC
- Primary Specialty
- Advanced Practice Midwife
- Enumeration Date
- Jan 23, 2023
- Last Updated
- Nov 21, 2023
Practice Location
Authorized Official
- Name
- KELLY GRANT, WHCNP-BC, CNM
- Title
- OWNER
- Phone
- (503) 724-8188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Women's Health — Women's Health |
| Advanced Practice Midwife |
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