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

Dr. Laurissa Marie Champion, DMD

Individual provider Periodontics · NPI 1568559003

Dr. Laurissa Marie Champion, DMD is a Periodontics in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2115 NE 42nd Ave
Portland, OR 97213-1321
Phone: (503) 954-1372
Fax: (503) 954-1392
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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 number1568559003
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedOctober 6, 2006
Last updated in NPPESSeptember 15, 2008

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