Organization · Type 2 NPI
Miranda McCormack, M.d., LLC
Primary Care Clinic/Center · Beaverton, OR
NPI number
1043488166
Active
Practice location
5040 SW Griffith Dr, #201
Beaverton, OR 97005-2985
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 465592-90 (OR) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1043488166
Miranda McCormack, M.d., LLC's National Provider Identifier is 1043488166, issued on Feb 11, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Beaverton, OR. The record was last updated on Feb 11, 2008.