The Jackson Macy Clinic

LBN: The Jackson Macy Clinic Llc
The Jackson Macy Clinic is an health care organization with primary practice located at 19365 Sw 65Th Ave Ste 105 , Tualatin OR 97062-9196. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is the primary health care specialty. The Jackson Macy Clinic Llc can be contacted via phone (503) 454-0018, or through Grant, Kelly via phone (503) 724-8188.

Contact Information

Primary practice address
19365 Sw 65Th Ave Ste 105 Tualatin OR 97062-9196
Phone: (503) 454-0018
Fax: (503) 848-3471
Website:
Map and Directions
Authorized official contact:
Name: Grant, Kelly WHCNP-BC, CNM
Phone: (503) 724-8188

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1780390864
LBN Legal business name The Jackson Macy Clinic Llc
DBA Doing business as The Jackson Macy Clinic
Authorized official Grant, Kelly WHCNP-BC, CNM
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2023
Last updated Nov 21st, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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