Laurissa Champion Dmd Llc - Portland, OR

Laurissa Champion Dmd Llc

Periodontist in Portland, Oregon

NPI 1063774784

Laurissa Champion Dmd Llc is a Periodontist based in Portland, OR and is specialized in Periodontics. Laurissa Champion Dmd Llc practices in Portland, OR. The NPI Number for Laurissa Champion Dmd Llc is 1063774784 and holds a License No. D8555 (Oregon).

The current practice location address for Laurissa Champion Dmd Llc is 2824 Ne Wasco St, Portland, OR and can be reached out via phone at 503-954-1372 and via fax at 503-954-1392.

Location: 2824 Ne Wasco St, Portland, OR, 97232-1772

NPI Number

1063774784

Provider Name

Laurissa Champion Dmd Llc

Credential

Provider Entity Type

Organization

Address

2824 Ne Wasco St, Portland, OR, 97232-1772

Phone Number

503-954-1372

Fax Number

503-954-1392

Provider Enumeration Date

06/08/2012

Last Update Date

03/09/2024

Address

2824 Ne Wasco St

City

Portland

State

Oregon

Zip

97232-1772

Phone Number

503-954-1372

Fax Number

503-954-1392

Address

2824 Ne Wasco St

City

Portland

State

Oregon

Zip

97232-1772

Phone Number

503-954-1372

Fax Number

503-954-1392

Type

Dental Providers

Classification

Dentist

Speciality

Periodontics

Taxonomy

1223P0300X

License No.

D8555 (Oregon)

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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