Provider Demographics
NPI:1275168759
Name:METATRON HEALTH LLC
Entity Type:Organization
Organization Name:METATRON HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-601-1808
Mailing Address - Street 1:6464 SW BORLAND RD STE C3
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-8856
Mailing Address - Country:US
Mailing Address - Phone:503-852-9680
Mailing Address - Fax:503-852-9681
Practice Address - Street 1:6464 SW BORLAND RD STE C3
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-8856
Practice Address - Country:US
Practice Address - Phone:503-852-9680
Practice Address - Fax:503-852-9681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center