PEACEHEALTH NETWORKS ON DEMAND LLC NPI 1750991725

NPI Information

PEACEHEALTH NETWORKS ON DEMAND, LLC is a non pharmacy dispensing site in Portland, OR. The provider is 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.) PEACEHEALTH NETWORKS ON DEMAND, LLC NPI is 1750991725. The provider is registered as an organization entity type.
The provider Is Doing Business As Zoomcare-woodstock.

The provider's business location address is:

4415 SE WOODSTOCK BLVD
PORTLAND, OR
ZIP 97206-271
Phone: (503) 684-8252
Fax: (866) 859-8195

The provider's authorized official is Mallory Alyse Kempton-hein .
The authorized official title is Pharmacist and has the following contact phone number (503) 684-8252.

The enumeration date for this NPI number is 8/5/2020 and was last updated on 4/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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