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MIRAMONT POINTE
NPI 1760427488
Assisted Living Facility in Clackamas, OR

Active since June 17, 2006CLIA 38D2059611 · Waiver
11520 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 698-1600(503) 652-0168 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miramont Pointe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRAMONT POINTE (NPI 1760427488) is a healthcare organization registered as an assisted living facility in Clackamas, Oregon and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 27, 2027 and lists John B Goodman, President Of Managing Member, as its authorized official.

NPPES Registry Identity

NPI1760427488
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMP, LLC
Location Address11520 SE SUNNYSIDE RDClackamas, OR 97015-4306
Mailing Address1107 Hazeltine Blvd, Suite 200Chaska, MN 55318-1009 · (952) 361-8000 · Fax (952) 361-8058
Phone(503) 698-1600
Fax(503) 652-0168
Organization SubpartNo
Authorized OfficialJohn B GoodmanPresident Of Managing Member · (952) 361-8000
Enumeration DateJune 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1760427488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in OR · NO NUMBER ASSIGNED
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
11520 SE SUNNYSIDE RD, Clackamas, OR 97015
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Other Names 1

Doing Business AsMiramont Pointe

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2059611

Mp, LLC Dba Miramont Pointe · Clackamas, OR
Active · expires May 27, 2027
CLIA Number38D2059611
Laboratory TypeResdiential Care Facility
Certificate Effective DateMay 28, 2025
Certificate Expiration DateMay 27, 2027
Laboratory DirectorTrevor Taylor
Laboratory Phone(503) 698-1600
Laboratory LocationMp, LLC Dba Miramont Pointe11520 SE Sunnyside Road, Clackamas, OR 97015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABLE PALMS HOME HEALTH OF OREGON, LLC
Home Health
11520 SE SUNNYSIDE RD, STE 308
CLACKAMAS, OR 97015
Clackamas County (503) 698-1615
KATHERINE TOSSI
Physical Therapy Assistant
11520 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 360-3717
PREMERE REHAB LLC
Physical Therapist
11520 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 698-1613
DR. ALISON KLOSSNER PT, DPT
Physical Therapist
11520 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (888) 757-3342

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mp, LLC's NPI number?

The NPI number for Mp, LLC is 1760427488. It was assigned to this organization in the NPPES registry on June 17, 2006. The provider is doing business as Miramont Pointe.

Where is Mp, LLC located?

Mp, LLC is located at 11520 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 698-1600.

What is Mp, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Mp, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2059611) is associated with this NPI, valid through May 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mp, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.