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NPI Code Detail

MEDICARE: METATRON HEALTH LLC

MEDICARE: METATRON HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1275168759
Entity Type Code : Organization
Provider Name (Legal Business Name) : METATRON HEALTH LLC
Provider Business Mailing Address
First Line : 6464 SW BORLAND RD STE C3
Second Line :
City : TUALATIN
State : OR
Zip : 97062-8856
Country : US
Telephone Number : 503-852-9680
Fax Number : 503-852-9681
Provider Business Practice Location Address
First Line : 6464 SW BORLAND RD STE C3
Second Line :
City : TUALATIN
State : OR
Zip : 97062-8856
Country : US
Telephone Number : 503-852-9680
Fax Number : 503-852-9681
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. ROBERTA HUANG
Credential : MD
Telephone Number : 206-601-1808
Provider Enumeration Date : 03/05/2020
Last Update Date : 03/05/2020

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Directions to “METATRON HEALTH LLC ” Practice Location

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