Organization
PEACEHEALTH NETWORKS ON DEMAND, LLC
Active
Parent organization
PEACEHEALTH NETWORKS ON DEMAND, LLC
Other names
ZoomCare-Lake Oswego
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEACEHEALTH NETWORKS ON DEMAND, LLC
Authorized official
MALLORY ALYSE KEMPTON-HEIN PHARM D (PHARMACIST)
(503) 684-8252
Entity
Organization
Contact information
Practice address
111 A AVE, LAKE OSWEGO, OR 97034-3116
(503) 684-8252
(833) 450-7644
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
—
0000063
DISPENSING PRACTITIONER DRUG OUTLET
OR
Enumeration date
08/04/2020
Last updated
03/24/2025
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