PEACEHEALTH NETWORKS ON DEMAND, LLC
NPI 1699385401
Non-Pharmacy Dispensing Site in Portland, OR
NPI Status: Active since August 06, 2020
Contact Information
172 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97232
Phone: (503) 684-8252
Fax: (833) 450-7722
- Organization
- Non-Pharmacy Dispensing Site
- CLIA Number: 38D2099216
- CLIA Cert. Type: Other - CLINIC
- CLIA Exp. Date: 12-17-2025
About PEACEHEALTH NETWORKS ON DEMAND, LLC
This page provides the complete NPI Profile along with additional information for Peacehealth Networks On Demand, Llc, a provider established in Portland, Oregon operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1699385401 assigned on August 2020. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated March 2025. The provider's
- NPI
- 1699385401
- Provider Legal Name
- PEACEHEALTH NETWORKS ON DEMAND, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 172 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97232
- Location Phone
- (503) 684-8252
- Location Fax
- (833) 450-7722
- Mailing Address
- 11958 SW GARDEN PL TIGARD, OR 97223
- Mailing Phone
- (503) 684-8252
- Mailing Fax
- (833) 450-7722
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-06-2020
- Last Update Date
- 03-24-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- Taxonomy Description
- 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.)
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0000087 | OTHER (01) | OR | DISPENSING PRACTITIONER DRUG OUTLET |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D2099216
- Facility Type
- Other - CLINIC
- Certificate Effective Date
- December 18, 2023
- Certificate Expiration Date
- December 17, 2025
- Laboratory Director
- ERIC NORRIS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Peacehealth Networks On Demand, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 9 | 9 | 3 | 8 | 5 | 4 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 6 | 8 | 10 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 6 + 8 + 1 + 0 + 4 + 0 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1699385401 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
MS. NATALIE PAUL FNP
Nurse Practitioner
(Family)
172 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97232
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699385401, enumerated as an "organization" on August 06, 2020.
The provider is located at 172 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97232 and the phone number is (503) 684-8252.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
