Individual
MS. NANCY ANN MACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHCNP CNM
Contact information
Practice address
19365 SW 65TH AVE STE 105, TUALATIN, OR 97062-9196
(503) 454-0018
(503) 848-3471
Mailing address
901 BRUTSCHER ST, NEWBERG, OR 97132-6096
(503) 454-0018
(503) 848-3471
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
091000472N7
OR
367A00000X
Advanced Practice Midwife
200150033NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276365
—
OR
Enumeration date
12/22/2006
Last updated
04/11/2023
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