Organization
PEACEHEALTH NETWORKS ON DEMAND, LLC
Active
Parent organization
PEACEHEALTH NETWORKS ON DEMAND, LLC
Other names
ZoomCare- Clackamas
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEACEHEALTH NETWORKS ON DEMAND, LLC
Authorized official
DR. MALLORY ALYSE KEMPTON-HEIN PHARM D. (PHARMACIST)
(503) 684-8252
Entity
Organization
Contact information
Practice address
10221 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9782
(503) 684-8252
(866) 859-8195
Mailing address
11958 SW GARDEN PL, TIGARD, OR 97223-8248
(503) 684-8252
(866) 859-8195
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000071
DISPENSING PRACTITIONER DRUG OUTLET
OR
Enumeration date
07/29/2020
Last updated
04/08/2024
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