Organization · Type 2 NPI

Peacehealth Networks On Demand, LLC

Non-Pharmacy Dispensing Site · Portland, OR

NPI number 1699385401 Active

Practice location

172 NE Martin Luther King Jr Blvd
Portland, OR 97232-2943

Call (503) 684-8252 Map

Fax (833) 450-7722

Mailing address

11958 SW Garden Pl
Tigard, OR 97223-8248

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: 1699385401
Entity type: Organization (Type 2)
Issued: Aug 6, 2020
Last updated: Mar 24, 2025
Status: Active
Subpart: Yes of Peacehealth Networks On Demand, LLC

Other names

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Zoomcare-Mlk and Davis St. · doing business as

Authorized official

Dr. Mallory Alyse Kempton-Hein, PHARM D.
Pharmacist
(503) 684-8252

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About NPI 1699385401

Peacehealth Networks On Demand, LLC's National Provider Identifier is 1699385401, issued on Aug 6, 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 Mar 24, 2025.