| Miranda Mccormack, M.d., Llc | |
|
5040 Sw Griffith Dr #201 Beaverton OR 97005-2985 | |
| (503) 616-2224 | |
| Not Available |
| Full Name | Miranda Mccormack, M.d., Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5040 Sw Griffith Dr, Beaverton, Oregon |
| Authorized Official Name and Position | Miranda Christie Mccormack (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5036162224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Mccormack, M.d., Llc 5040 Sw Griffith Dr #201 Beaverton OR 97005-2985 Ph: (503) 616-2224 | Miranda Mccormack, M.d., Llc 5040 Sw Griffith Dr #201 Beaverton OR 97005-2985 Ph: (503) 616-2224 |
| NPI Number | 1043488166 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 02/11/2008 |
| Medicare PECOS PAC ID | 0840377990 |
|---|---|
| Medicare Enrollment ID | O20080414000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043488166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 465592-90 (Oregon) | Primary |
| Provider Name | Miranda C Mccormack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356397871 PECOS PAC ID: 2860421419 Enrollment ID: I20050804000578 |
Livewell Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10700 Sw Beaverton Hillsdale Hwy Ste 300a-4, Beaverton, OR 97005 Phone: 503-887-0311 Fax: 503-530-8581 | |
Wildwood Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16100 Nw Cornell Rd Ste 220, Beaverton, OR 97006 Phone: 303-929-8993 | |
Careoregon Community Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17175 Sw Tualatin Valley Hwy, Suite B-2, Beaverton, OR 97006 Phone: 503-848-5861 Fax: 503-848-5863 | |
Hazelden Betty Ford Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6600 Sw 105th Ave Ste 120, Beaverton, OR 97008 Phone: 800-257-7800 | |
Murrayhill Medical Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11200 Sw Murray Scholls Pl, Suite 100, Beaverton, OR 97007 Phone: 800-813-2000 Fax: 503-286-6879 | |
Go To Ortho Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2695 Sw Cedar Hills Blvd Ste 140, Beaverton, OR 97005 Phone: 503-850-9950 Fax: 877-533-6717 |