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Peacehealth Networks On Demand, Llc
Non-Pharmacy Dispensing Site in Lake Oswego, Oregon
NPI 1962012955

Peacehealth Networks On Demand, Llc is a Non-Pharmacy Dispensing Site based in Portland, OR. Peacehealth Networks On Demand, Llc practices in Lake Oswego, OR. The NPI Number for Peacehealth Networks On Demand, Llc is 1962012955 and holds a License No. (Oregon).

The current practice location address for Peacehealth Networks On Demand, Llc is 111 A Ave, Lake Oswego, OR and can be reached out via phone at 503-941-3807 and via fax at 503-941-3809. You can also correspond with Peacehealth Networks On Demand, Llc through the mailing address at 1455 NW IRVING ST STE 600, PORTLAND, OR - 97209-2277 (mailing address contact number: 503-941-3807).

Location: 111 A Ave, Lake Oswego, OR, 97209-2277
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962012955
Provider Name
Peacehealth Networks On Demand, Llc
Credential
Provider Entity Type
Organization
Address
111 A Ave, Lake Oswego, OR, 97209-2277
Phone Number
503-941-3807
Fax Number
503-941-3809
Provider Enumeration Date
08/04/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000007-CS 01 OR SUPERVISING PHYSICIAN DISPENSING OUTLET
institution
Provider Business Practice Location Address Details
Address
111 A Ave
City
Lake Oswego
State
Oregon
Zip
97034-3116
Phone Number
503-941-3807
Fax Number
503-941-3809
person
Provider Business Mailing Address Details
Address
111 A Ave
City
Lake Oswego
State
Oregon
Zip
97034-3116
Phone Number
503-941-3807
Fax Number
503-941-3809
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
()
Definition
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.)
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