The Jackson Macy Clinic LLC
NPI 1780390864 · Advanced Practice Midwife · Tualatin, OR
The Jackson Macy Clinic LLC is a Advanced Practice Midwife organization in Tualatin, OR (NPI 1780390864).
Provider details
- NPI number
- 1780390864
- Entity type
- Organization
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kelly Grant, Owner(503) 724-8188
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Women's Health Nurse Practitioner363LW0102X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- The Jackson Macy Clinic
Registry dates
- Enumerated
- 2023-01-23
- Last updated
- 2023-11-21
- Certified
- 2023-11-21
Frequently asked questions
- What is The Jackson Macy Clinic LLC's NPI number?
- The Jackson Macy Clinic LLC's National Provider Identifier (NPI) is 1780390864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Jackson Macy Clinic LLC?
- The Jackson Macy Clinic LLC is classified in the NPPES registry as Advanced Practice Midwife (Physician Assistants & Advanced Practice Nursing Providers).
- Where is The Jackson Macy Clinic LLC located?
- The Jackson Macy Clinic LLC's practice location on file with NPPES is 19365 Sw 65th Ave Ste 105, Tualatin, OR 97062-9196.
- What is The Jackson Macy Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for The Jackson Macy Clinic LLC is (503) 454-0018.
- Who is the authorized official for The Jackson Macy Clinic LLC?
- The authorized official listed on The Jackson Macy Clinic LLC's NPPES record is Kelly Grant, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Jackson Macy Clinic LLC's NPI active?
- Yes — The Jackson Macy Clinic LLC's NPI (1780390864) is active in the NPPES registry as of the last update on 2023-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.