NPIMap

Organization Active NPI

Metis Clinics LLC

  • Contractor
  • Tigard, OR
National Provider Identifier
1174937973
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
7329 Issued in OR
Legal business name
METIS CLINICS LLC
Practice address
7110 SW Fir Loop
Suite 210
Tigard, OR 97223-8084
Phone
(503) 819-2904
Fax
(503) 746-7432
NPI assigned
Jun 19, 2014
Last updated
Jun 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Authorized official

Name
Miss Tara Pelton
Title
Office Manager
Phone
(503) 819-2904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 7329 OR Primary

Addresses

Primary practice location

7110 SW Fir Loop
Suite 210
Tigard, OR 97223-8084

Mailing address

7110 SW Fir Loop
Suite 210
Tigard, OR 97223-8084
Phone (503) 819-2904

National Provider Directory

National Provider Directory
Tax ID family
Healthy Notions LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1174937973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 SW FIR LOOP",
            "address_2": "SUITE 210",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238084",
            "telephone_number": "503-819-2904",
            "fax_number": "503-746-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 SW FIR LOOP",
            "address_2": "SUITE 210",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238084",
            "telephone_number": "503-819-2904",
            "fax_number": "503-746-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METIS CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "PELTON",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-819-2904",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OR",
            "license": "7329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.