The Jackson Macy Clinic LLC
NPI 1780390864ActiveOrganization· Advanced Practice Midwife· Tualatin, OR
Advanced Practice Midwife in Tualatin, Oregon, registered in NPPES in January 2023. The authorized official on file is Kelly Grant, WHCNP-BC, CNM, Owner.
Overview
| NPI | 1780390864 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 23, 2023 |
| Last updated in NPPES | Nov 21, 2023 |
| Certified by provider | Nov 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Advanced Practice Midwife Primary | 367A00000X | — | — |
| Nurse Practitioner, Women's Health | 363LW0102X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other certified nurse midwives in Tualatin
- 1336797216
- 1811228497
- 1063929735
- 1699309245
- 1770556722
- 1750834545
- 1356717359