Miranda Mccormack, M.D., LLC
NPI 1043488166 · Primary Care Clinic/Center · Beaverton, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Miranda Mccormack, M.D., LLC is a Primary Care Clinic/Center organization in Beaverton, OR (NPI 1043488166).
Provider details
- NPI number
- 1043488166
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Miranda Mccormack, Physician/Owner(503) 616-2224
- License
- 465592-90 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-11
- Last updated
- 2008-02-11
Frequently asked questions
- What is Miranda Mccormack, M.D., LLC's NPI number?
- Miranda Mccormack, M.D., LLC's National Provider Identifier (NPI) is 1043488166, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Miranda Mccormack, M.D., LLC?
- Miranda Mccormack, M.D., LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Miranda Mccormack, M.D., LLC located?
- Miranda Mccormack, M.D., LLC's practice location on file with NPPES is 5040 Sw Griffith Dr, Beaverton, OR 97005-2985.
- What is Miranda Mccormack, M.D., LLC's phone number?
- The practice phone number listed in the NPPES registry for Miranda Mccormack, M.D., LLC is (503) 616-2224.
- Does Miranda Mccormack, M.D., LLC accept Medicare?
- Miranda Mccormack, M.D., LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Miranda Mccormack, M.D., LLC?
- The authorized official listed on Miranda Mccormack, M.D., LLC's NPPES record is Miranda Mccormack, Physician/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Miranda Mccormack, M.D., LLC's NPI active?
- Yes — Miranda Mccormack, M.D., LLC's NPI (1043488166) is active in the NPPES registry as of the last update on 2008-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.