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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAURISSA CHAMPION DMD LLC

Active Organization

LAURISSA CHAMPION DMD LLC is a Periodontology organization located in PORTLAND, Oregon. NPI 1063774784 is currently active in the NPPES registry. Verify at CMS.

Periodontology · PORTLAND, OR

Registration Details

NPI Number
1063774784
Provider Type
Organization
NPI Issued
Jun 8, 2012 (14.218422552178 yrs)
Last Updated
Jun 8, 2012
License
D8555 (OR)

Practice Information

Address
2824 NE WASCO ST
SUITE 230
PORTLAND, OR, 972321772
Browse OR providers · Browse ZIP 97232
Phone
5039541372
Fax
5039541392
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Organizations in PORTLAND, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.