Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jennie Stover Champion, MD

Individual provider Pediatric Critical Care Medicine Physician · NPI 1114965498

Dr. Jennie Stover Champion, MD is a Pediatric Critical Care Medicine Physician in Portland, Oregon. Licensed in Massachusetts, New Mexico, Oregon and Vermont. Registered with an NPI since 2006.

Licensed in
MA, NM, OR, VT
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2801 N Gantenbein Ave Ste 3135
Portland, OR 97227-1623
Phone: (503) 413-2632
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence MD28609 (OR)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence 224172 (MA)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence MD2011-0496 (NM)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence 042.0012363 (VT)

Record details

NPI number1114965498
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESMay 18, 2016

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