Organization Active NPI

Meta MTM Health

  • Community/Retail Pharmacy
  • Beaverton, OR
National Provider Identifier
1114647369
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
META MTM HEALTH
Practice address
12250 SW Canyon Rd
Suite 200
Beaverton, OR 97005-2116
Phone
(971) 229-3555
Fax
(971) 203-7522
NPI assigned
Aug 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rick Paul Hanjan, PHARMDNPI 1972885770
Title
Pic
Phone
(503) 229-3555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

12250 SW Canyon Rd
Suite 200
Beaverton, OR 97005-2116

Mailing address

12250 SW Canyon Rd
Beaverton, OR 97005-2116
Phone (971) 229-3555

National Provider Directory

National Provider Directory

Locations

12250 SW Canyon Rd
Ste 200
Beaverton, OR 97005
Phone (971) 229-3555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1114647369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12250 SW CANYON RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052116",
            "telephone_number": "971-229-3555",
            "fax_number": "971-203-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 SW CANYON RD",
            "address_2": "SUITE 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052116",
            "telephone_number": "971-229-3555",
            "fax_number": "971-203-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "META MTM HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "HANJAN",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "503-229-3555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.