DR. LAURISSA CHAMPION, DMD
Dentist - Periodontics
Active
Individual
NPI: 1568559003
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Periodontics | 1223P0300X | Yes | D8555 (OR) |
Frequently Asked Questions
NPI 1568559003 is the National Provider Identifier for DR. LAURISSA CHAMPION, DMD, a Dentist - Periodontics provider located in Portland, OR. This NPI was enumerated on October 6, 2006.
DR. LAURISSA CHAMPION, DMD practices at 2115 NE 42ND AVE, Portland, OR 97213.
Quick Facts
- NPI
- 1568559003
- Type
- Individual
- Enumerated
- Oct 6, 2006
- Last Updated
- Sep 15, 2008
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