NPI 1962012955

Peacehealth Networks on Demand, LLC

Organisation Non-Pharmacy Dispensing Site Lake Oswego, OR

Practice location

Address: 111 a Ave, Lake Oswego, OR 97034-3116
Phone: (503) 684-8252
Fax: (833) 450-7644
Mailing address: 11958 SW Garden Pl, Tigard, OR 97223-8248

Authorised official

Name: Mallory Alyse Kempton-Hein
Title: Pharmacist
Phone: (503) 684-8252

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

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Registry record

NPI: 1962012955
Entity type: Organization
NPI issued: 4 Aug 2020
Record last updated: 24 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.