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1356397871
MIRANDA C MCCORMACK
BEAVERTON, OR
NPI
1356397871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD25709)
Enumeration Date
2006-05-26
Last Update Date
2007-07-08
Business Address
-- MIRANDA C MCCORMACK MD
2935 SW CEDAR HILLS BLVD
BEAVERTON, OR 97005-1342
Phone number: 503-352-6000
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Mailing Address
-- MIRANDA C MCCORMACK MD
PO BOX 568
CORNELIUS, OR 97113-0568
Phone number: 503-359-5564
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