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Miranda Mccormack, M.d., Llc
Primary Care Clinic/Center in Beaverton, Oregon
NPI 1043488166

Miranda Mccormack, M.d., Llc is a Primary Care Clinic/Center based in Beaverton, OR and is specialized in Primary Care. Miranda Mccormack, M.d., Llc practices in Beaverton, OR. The NPI Number for Miranda Mccormack, M.d., Llc is 1043488166 and holds a License No. 465592-90 (Oregon).

The current practice location address for Miranda Mccormack, M.d., Llc is 5040 Sw Griffith Dr, Beaverton, OR and can be reached out via phone at 503-616-2224.

Location: 5040 Sw Griffith Dr, Beaverton, OR, 97005-2985
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043488166
Provider Name
Miranda Mccormack, M.d., Llc
Credential
Provider Entity Type
Organization
Address
5040 Sw Griffith Dr, Beaverton, OR, 97005-2985
Phone Number
503-616-2224
Fax Number
Provider Enumeration Date
02/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5040 Sw Griffith Dr
City
Beaverton
State
Oregon
Zip
97005-2985
Phone Number
503-616-2224
Fax Number
person
Provider Business Mailing Address Details
Address
5040 Sw Griffith Dr
City
Beaverton
State
Oregon
Zip
97005-2985
Phone Number
503-616-2224
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
465592-90 (Oregon)
Definition
Definition to come...
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