OrganizationActive
Miranda Mccormack, M.D., LLC
NPI 1043488166 · Primary Care Clinic/Center · Beaverton, OR
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
Detailed profile(88/100 index)
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
5040 Sw Griffith Dr
#201
Beaverton, OR 97005-2985
Phone: (503) 616-2224
Street-level locationGet directions
Mailing address
5040 Sw Griffith Dr
Beaverton, OR 97005-2985
Registry dates
- Enumerated
- 2008-02-11
- Last updated
- 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.