Organization · Type 2 NPI

Peacehealth Networks On Demand, LLC

Non-Pharmacy Dispensing Site · Portland, OR

NPI number 1407466865 Active

Practice location

3218 NE Broadway St
Portland, OR 97232-1815

Call (503) 941-3807 Map

Fax (503) 941-3809

Mailing address

1455 NW Irving St Ste 600
Portland, OR 97209-2277

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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NPI record

NPI: 1407466865
Entity type: Organization (Type 2)
Issued: Jul 31, 2020
Last updated: Jul 31, 2020
Status: Active
Subpart: Yes of Peacehealth Networks On Demands, LLC

Other names

Zoomcare-Broadway & 33rd · doing business as

Authorized official

Dr. Mallory Alyse Kempton-Hein, PHARM D.
Pharmacist
(503) 941-3807

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About NPI 1407466865

Peacehealth Networks On Demand, LLC's National Provider Identifier is 1407466865, issued on Jul 31, 2020. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Portland, OR. The record was last updated on Jul 31, 2020.