PEACEHEALTH NETWORKS ON DEMAND, LLC (NPI# 1144839804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144839804 |
| Entity Type | Organization |
| Organization Name | PEACEHEALTH NETWORKS ON DEMAND, LLC |
| Practice Address |
1400 Ne Alberta St Portland OR 97211-5044 |
| Mailing Address |
1455 Nw Irving St Ste 600 Portland OR 97209-2277 |
| Practice Telephone | 5036848252 |
| Practice Fax Number | 8668598195 |
| Mailing Telephone | 5039413807 |
| Mailing Fax Number | 5039413809 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | SUPERVISING PHYSICIAN DISPENSING OUTLET LICENSE | 0000001-CS | 01 |
| Other Name | Type Code |
|---|---|
| ZoomCare- Alberta | Doing Business As Name - Organization |
| 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 |
| 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 |
| Street Address |
1400 NE ALBERTA ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97211-5044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134585268 | Kathleen Klunk | Nurse Practitioner | 1400 Ne Alberta St, Portland, OR 97211-5044 | 2016-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104586 | Rachel Joy Kendall | Counselor | 5257 Nw Martin Luther King Jr. Blvd, 202e, Portland, OR 97211 | 2019-03-22 |
| 1073014601 | Kelli Minton | Behavior Technician | 7035 Ne 9th Ave, Portland, OR 97211 | 2018-02-28 |
| 1083145726 | Warren H Baumann | Registered Nurse | 854 Ne Simpson St, Portland, OR 97211 | 2017-03-24 |
| 1407277411 | Regina Barnett | Case Manager/Care Coordinator | 509 Ne Alberta St., Portland, OR 97211 | 2013-12-17 |
| 1578905964 | Carmel Therese Irving | Social Worker | 5912 Ne 16th Ave, Portland, OR 97211 | 2013-07-25 |
| 1629310990 | Lisa Peacock | Counselor | 4433 Ne 35 Place, Portland, OR 97211 | 2013-03-25 |
| 1285907915 | Michele Karen Koder | Pharmacist | 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 | 2012-02-10 |
| 1629368196 | Alexis Miranda Barker | Massage Therapist | 4929 Ne 30th Ave, Zen Space Healing, Portland, OR 97211 | 2011-04-18 |
| 1396041760 | Kara Ann Fuerst | Specialist | 3325 Ne Prescott, Portland, OR 97211 | 2011-02-02 |
| 1063746337 | Laura K Elvers | Pharmacist | 6116 Ne Mlk, Portland, OR 97211 | 2009-09-18 |
| Find all providers in zip 97211 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | 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.) |
| 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] |
| 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 | ||||
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| 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.