NPIMap

Peacehealth Networks on Demand, LLC

Organization Active NPI General Practice Physician · Tigard, OR

NPI 1023582178 · NPPES record last updated Mar 17, 2026

Key facts

NPI
1023582178
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
PEACEHEALTH NETWORKS ON DEMAND, LLC
Practice address
11958 SW Garden PL
Tigard, OR 97223-8248
Phone
(503) 684-8252
Fax
(866) 859-8195
NPI assigned
Jan 11, 2019
Organization subpart
No

Authorized official

Name
Aaron Crane
Title
Cfo
Phone
(503) 684-8252

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 279

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 279

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in OR, WA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240612001355 OR Part B Supplier - Clinic/Group Practice 1759731383 Receives reassigned benefits from 154 practitioners
Practice locations: Beaverton, OR; Wilsonville, OR; Tigard, OR; Springfield, OR; Salem, OR; Portland, OR; Clackamas, OR; Eugene, OR…
O20240613000263 WA Part B Supplier - Clinic/Group Practice 1759731383 Receives reassigned benefits from 131 practitioners
Practice locations: Bellevue, WA; Woodinville, WA; Vancouver, WA; Tukwila, WA; Shoreline, WA; Seattle, WA; Redmond, WA; Lynnwood, WA…

National Provider Directory

Locations (25 of 52)

5324 Wadsworth Byp
Unit C
Arvada, CO 80002

5324 Wadsworth Byp
Arvada, CO 80002

3525 Seneca St
West Seneca, NY 14224

2711 NE Town Center Dr
Ste 220
Beaverton, OR 97006

11385 SW Scholls Ferry Rd
Beaverton, OR 97008
Phone (503) 524-9040

116 N 20th Ave
Cornelius, OR 97113

2490 Willamette St
Eugene, OR 97405
Phone (503) 913-0404

3218 NE Broadway St
Portland, OR 97232

3872 N Mississippi Ave
Spc 2
Portland, OR 97227

606 NE Grand Ave
Portland, OR 97232

3872 N Mississippi Ave
Ste 2
Portland, OR 97227

8157 N Lombard St
Portland, OR 97203

3872 N Mississippi Ave
#2
Portland, OR 97227

7887 SW Capitol Hwy
Portland, OR 97219

172 NE Martin Luther King Jr Blvd
Portland, OR 97232

1455 NW Irving St
Portland, OR 97209

7855 SW Capitol Hwy
Portland, OR 97219

3266 Gateway St
Spc B
Springfield, OR 97477

3266 Gateway St
Ste 101
Springfield, OR 97477

11956 SW Garden Pl
Tigard, OR 97223

7421 SW Bridgeport Rd
Ste 200
Tigard, OR 97224
Phone (503) 598-7616

25600 SW Argyle Ave
Wilsonville, OR 97070

24118 Bothell Everett Hwy
Unit 400
Bothell, WA 98021
Phone (360) 354-1115

24118 Bothell Everett Hwy
Unit 200
Bothell, WA 98021

17017 SE 270th Pl
Ste C113
Covington, WA 98042

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208D00000X Yes

Addresses

Primary practice location

11958 SW Garden PL
Tigard, OR 97223-8248

Mailing address

PO Box 37659
Belfast, ME 04915-1218
Phone (503) 684-8252

Other names

  • ZOOM MANAGEMENT Doing business as

Other providers in Tigard, OR

All providers in Tigard, OR · General Practice Physician in Oregon

Sources for this page

Verify at the official NPI Registry.