NPIMap

Organization Active NPI

Peacehealth Networks on Demand, LLC

Doing business as ZoomCare-Bridgeport Village

  • Non-Pharmacy Dispensing Site
  • Tigard, OR
National Provider Identifier
1780293340
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-Bridgeport Village
Practice address
7451 SW Bridgeport Rd
Tigard, OR 97224-7207
Phone
(503) 684-8252
Fax
(833) 450-6411
NPI assigned
Jul 29, 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

7451 SW Bridgeport Rd
Tigard, OR 97224-7207

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0000064OtherORDISPENSING PRACTITIONER DRUG OUTLET

Other names 1

  • ZoomCare-Bridgeport Village Doing business as

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 19

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

View all 19

Practitioners & affiliated clinicians

Practitioners 3

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": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1780293340",
    "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": "7451 SW BRIDGEPORT RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247207",
            "telephone_number": "503-684-8252",
            "fax_number": "833-450-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEHEALTH NETWORKS ON DEMAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEACEHEALTH NETWORKS ON DEMAND, LLC",
        "enumeration_date": "2020-07-29",
        "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": "0000064",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZoomCare-Bridgeport Village",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ZoomCare-Bridgeport Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tigard, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.