Organization · Type 2 NPI

Peacehealth Networks On Demand, LLC

Non-Pharmacy Dispensing Site · Portland, OR

NPI number 1780293316 Active

Practice location

4427 NE Fremont St
Portland, OR 97213-1153

Call (503) 684-8252 Map

Fax (833) 450-6404

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.)

Another provider at this address

Micah Kiehl, MDFamily Medicine Physician Portland, OR NPI 1871943159

Other non-pharmacy dispensing site providers in Portland

See all in Portland →

NPI record

NPI: 1780293316
Entity type: Organization (Type 2)
Issued: Jul 29, 2020
Last updated: Mar 24, 2025
Status: Active
Subpart: Yes of Peacehealth Networks On Demand,llc

Other names

<unavail>
Zoomcare-Ne Fremont · doing business as
Zoomcare-Ne Fremont · doing business as

Authorized official

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

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780293316

Peacehealth Networks On Demand, LLC's National Provider Identifier is 1780293316, issued on Jul 29, 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.