NPIMap

Organization Active NPI

Peacehealth Networks on Demand, LLC

Doing business as ZoomCare- Sellwood-Moreland

  • Non-Pharmacy Dispensing Site
  • Portland, OR
National Provider Identifier
1154931814
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PEACEHEALTH NETWORKS ON DEMAND, LLC
Doing business as
ZoomCare- Sellwood-Moreland
Practice address
6910 SE Milwaukie Ave
Portland, OR 97202-5717
Phone
(503) 684-8252
Fax
(833) 450-8855
NPI assigned
Aug 6, 2020
Last updated
Mar 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PEACEHEALTH NETWORKS ON DEMAND, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mallory Alyse Kempton-Hein, PHARM D
Title
Pharmacist
Phone
(503) 684-8252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

6910 SE Milwaukie Ave
Portland, OR 97202-5717

Mailing address

11958 SW Garden PL
Tigard, OR 97223-8248
Phone (503) 684-8252

Other identifiers 1

IdentifierTypeStateIssuer
0000082OtherORDISPENSING PRACTITIONER DRUG OUTLET

Other names 1

  • ZoomCare- Sellwood-Moreland Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2009475Zoomcare Sellwood Moreland6910 SE Milwaukie Ave, Portland, OR 97202Certificate of waiverApr 5, 2028

National Provider Directory

National Provider Directory
Tax ID family
Peacehealth Networks62 organizations share this tax ID, including this one
Part of
Peacehealth Networks

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

1455 NW Irving St
Ste 600
Portland, OR 97209
Phone (702) 388-4512

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1154931814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11958 SW GARDEN PL",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238248",
            "telephone_number": "503-684-8252",
            "fax_number": "866-859-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025717",
            "telephone_number": "503-684-8252",
            "fax_number": "833-450-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEHEALTH NETWORKS ON DEMAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEACEHEALTH NETWORKS ON DEMAND, LLC",
        "enumeration_date": "2020-08-06",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "KEMPTON-HEIN",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_middle_name": "ALYSE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "503-684-8252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DISPENSING PRACTITIONER DRUG OUTLET",
            "identifier": "0000082",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZoomCare- Sellwood-Moreland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.