# PEACEHEALTH NETWORKS ON DEMAND, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PEACEHEALTH NETWORKS ON DEMANDS, LLC
- **Other names:** ZoomCare-Broadway & 33rd
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407466865
- **Legal business name:** PEACEHEALTH NETWORKS ON DEMANDS, LLC
- **Authorized official:** DR. MALLORY ALYSE KEMPTON-HEIN PHARM D. (PHARMACIST)
- **Authorized official phone:** (503) 941-3807

## Contact information

- **Practice address:** 3218 NE BROADWAY ST, PORTLAND, OR 97232-1815
- **Practice address phone:** (503) 941-3807
- **Practice address fax:** (503) 941-3809
- **Mailing address:** 1455 NW IRVING ST STE 600, PORTLAND, OR 97209-2277
- **Mailing address phone:** (503) 941-3807
- **Mailing address fax:** (503) 941-3809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 07/31/2020
- **Last updated:** 07/31/2020