Laurissa Champion DMD LLC
Laurissa Champion DMD LLC is a Periodontics in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2012.
- Licensed in
- OR
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2824 NE Wasco St Ste 230Portland, OR 97232-1772
Phone: (503) 954-1372
Fax: (503) 954-1392
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence D8555 (OR) |
|---|
Record details
| NPI number | 1063774784 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Laurissa Champion — Owner · (503) 954-1372 |
| Other names | Eastside Periodontics & Implantology |
| NPI enumerated | June 8, 2012 |
| Last updated in NPPES | June 8, 2012 |
| Mailing address | 2824 Ne Wasco St, Suite 230, Portland, OR 97232-1772 |
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