Kelly Rose Grant, WHCNP, CNM is a
Advanced Practice Midwife based in West Linn, Oregon. Kelly Rose Grant is licensed to practice in Oregon (license number 10005243) and her current practice location is
22400 Salamo Rd Ste 201, West Linn, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 723-7234.
NPI number for Kelly Rose Grant is 1659083129 and her current mailing address is 22400 Salamo Rd Ste 201, West Linn, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659083129.
Provider's Profile
Full Name | Kelly Rose Grant |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 22400 Salamo Rd Ste 201, West Linn, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659083129
- Provider Enumeration Date: 12/15/2022
- Last Update Date: 06/13/2024
Medical Identifiers
Medical identifiers for Kelly Rose Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659083129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LW0102X | Nurse Practitioner - Women's Health | 10002453 (Oregon) | Secondary |
367A00000X | Advanced Practice Midwife | 10005243 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Rose Grant is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Rose Grant, WHCNP, CNM 22400 Salamo Rd Ste 201, West Linn, OR 97068-8269 Ph: (503) 723-7234 | Kelly Rose Grant, WHCNP, CNM 22400 Salamo Rd Ste 201, West Linn, OR 97068-8269 Ph: (503) 723-7234 |
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