Metatron Health LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

METATRON HEALTH LLC

Practice address

6464 SW Borland Rd Ste C3
Tualatin, OR 97062-8856

Phone

(503) 852-9680

Fax

(503) 852-9681

NPI assigned

Mar 5, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Roberta Huang, MD

Title

Medical Director

Phone

(206) 601-1808

Specialties & licenses 1

Addresses

Other names 1

• Portland Regenerative Medicine Center Doing business as

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1275168759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 SW BORLAND RD STE C3",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628856",
            "telephone_number": "503-852-9680",
            "fax_number": "503-852-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 SW BORLAND RD STE C3",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628856",
            "telephone_number": "503-852-9680",
            "fax_number": "503-852-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METATRON HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "206-601-1808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Regenerative Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meridian Family Care, LLC
• Meridian Park Oncology LLC
• Meridian Park Radiation Oncolog Center, Inc
• Meridian Park Radiation Oncology Center, Inc.
• Samantha Merz
• MFT Holdings, LLC
• Michael P. Gardner, MD PC
• Michael P. Gardner, MD PC
• Michael R Van Allen MD PC
• Michael W. Gehlen D.M.D.,P.C.

• Clinic/Center in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.