PEACEHEALTH NETWORKS ON DEMAND, LLC


Address: 202 Nw 13th Ave, Portland, OR 97209-2953
Phone: 5039413807

PEACEHEALTH NETWORKS ON DEMAND, LLC (NPI# 1043820848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043820848
Entity Type Organization
Organization Name PEACEHEALTH NETWORKS ON DEMAND, LLC
Practice Address 202 Nw 13th Ave
Portland
OR 97209-2953
Mailing Address 1455 Nw Irving St Ste 600
Portland
OR 97209-2277
Practice Telephone 5039413807
Practice Fax Number 5039413809
Mailing Telephone 5049413807
Mailing Fax Number 5039413809
Enumeration Date 2020-08-06
Last Update Date 2020-08-06
Authorized Official Name DR. MALLORY ALYSE KEMPTON-HEIN (PHARMACIST)
Authorized Official Telephone 5039413807
Authorized Official Credential PHARM D.
Is Organization Subpart Y
Parent Organization Name PEACEHEALTH NETWORKS ON DEMAND, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OR SUPERVISING PHYSICIAN DISPENSING OUTLET 0000010-CS 01

Other Provider/Organization Names

Other Name Type Code
ZoomCare- Pearl District Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1740890268 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 10541 Ne 4th St, Bellevue, WA 98004-5023 2020-08-10
1770193294 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 4555 Stone Way N, Seattle, WA 98103-6647 2020-08-10
1386254811 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 123 Broadway E Ste A, Seattle, WA 98102-5711 2020-08-10
1538779137 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 781 W Columbia Way, Vancouver, WA 98660 2020-08-07
1659981272 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 15911 Westminister Way N., Shoreline, WA 98113 2020-08-07
1154931814 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 6910 Se Milwaukie Ave, Portland, OR 97202-5717 2020-08-06
1841800752 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 517 Union St, Seattle, WA 98101-2308 2020-08-05
1437769320 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 10425 Ne 8th St, Bellevue, WA 98004-4346 2020-08-05
1184234072 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 2038 Nw Market St, Seattle, WA 98107-4012 2020-08-05
1619587482 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 4012 Sw Alaska St, Seattle, WA 98116-4529 2020-08-05

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities PeaceHealth Networks on Demand, LLC 1115 Se 164th Avenue, Dept. 302, Vancouver, WA 98683
Oregon Corporations, Companies and Business Names PEACEHEALTH NETWORKS ON DEMAND, LLC 1115 Se 164th Ave Dept 302, Vancouver, WA 98683

Office Location

Street Address 202 NW 13TH AVE
City PORTLAND
State OR
Zip Code 97209-2953

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689647372 Zoomcare PC Internal Medicine 202 Nw 13th Ave, Portland, OR 97209 2006-02-11
1598307381 Randi Rebecca Heriford Behavioral Analyst 202 Nw 13th Ave, Portland, OR 97209-2953 2019-10-13
1992358493 Lynaudry Vickers Registered Nurse 202 Nw 13th Ave, Portland, OR 97209-2953 2019-07-23
1053866764 Mary Elizabeth Rotberg Nurse Practitioner 202 Nw 13th Ave, Portland, OR 97209-2953 2016-08-23
1710378591 Ashton Tart Registered Nurse 202 Nw 13th Ave, Portland, OR 97209-2953 2015-02-14
1124416946 Mark Tyrrell Physician Assistant 202 Nw 13th Ave, Portland, OR 97209-2953 2014-12-31
1275948168 Cameron Steineckert Physician Assistant 202 Nw 13th Ave, Portland, OR 97209-2953 2014-06-30
1598183071 Christian Marchant Physician Assistant 202 Nw 13th Ave, Portland, OR 97209-2953 2014-04-02
1730466178 Karyn Virginia Guido Physician Assistant 202 Nw 13th Ave, Portland, OR 97209 2011-11-14
1265749188 Stephanie Warye Physician Assistant 202 Nw 13th Ave, Portland, OR 97209-2953 2010-09-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508476250 Harrington Health Clinic Nurse Practitioner 310 Nw Glisan Street, Portland, OR 97209 2020-08-07
1619599636 Rivers Way Training Clinic Community/Behavioral Health 2049 Nw Hoyt, Portland, OR 97209 2020-05-13
1518590538 Julie Kay Igarta Registered Nurse 140 Northwest 14th Avenue, Portland, OR 97209 2020-02-18
1407492002 Oregon Injection Clinic Clinic/Center 1500 Nw Lovejoy, 106, Portland, OR 97209 2019-11-19
1487202883 Ann Tesora Massage Therapist 1320 Northwest 20th Avenue, Portland, OR 97209 2019-08-28
1972160455 Vincent Martin Massage Therapist 210 Sw 17th Avenue, Portland, OR 97209 2019-05-21
1154896546 Jennifer Marie Dodd Social Worker 1722 Nw Raleigh St Spc 412, Portland, OR 97209 2018-10-11
1922551910 Ashley Crowell Physician Assistant 949 Nw Overton St Unit 306, Portland, OR 97209 2016-07-26
1326408394 Jennifer Blain Counselor 324 Nw Davis, Portland, OR 97209 2016-03-03
1275993255 Lauren Dodson Licensed Practical Nurse 324 Nw Davis St, Portland, OR 97209 2016-03-03
Find all providers in zip 97209

Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

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.)
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154931814 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 6910 Se Milwaukie Ave, Portland, OR 97202-5717 2020-08-06
1902416175 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 8179 N Lombard St, Portland, OR 97203-3130 2020-08-03
1144830365 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 945 Nw Lovejoy St, Portland, OR 97209-3475 2020-08-03
1174133300 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 7855 Sw Capitol Hwy, Portland, OR 97219-2465 2020-08-03
1386254514 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 3872 N Mississippi Ave, Portland, OR 97227-1161 2020-08-03
1407466865 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 3218 Ne Broadway St, Portland, OR 97232-1815 2020-07-31
1437768066 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 2400 E Burnside St, Portland, OR 97214-1752 2020-07-29
1447869060 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 3150 Se Division St, Portland, OR 97202-1172 2020-07-29
1699385401 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 172 Ne Martin Luther King Jr Blvd, Portland, OR 97232-2943 2020-08-06
1821608514 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 607 Ne Grand Ave, Portland, OR 97232-2728 2020-08-06
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97209

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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