Active NPI
Meta MTM Health
- Community/Retail Pharmacy
- Beaverton, OR
National Provider Identifier
1114647369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rick Paul Hanjan, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Portland, OR
- NPI 1972885770
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.