LAURISSA MARIE CHAMPION

PORTLAND, OR
NPI1568559003
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: OR  D8555)
Enumeration Date2006-10-06
Last Update Date2008-09-15
Business Address
Dr. LAURISSA MARIE CHAMPION DMD
2115 NE 42ND AVE
PORTLAND, OR 97213-1321
Phone number: 503-954-1372
Mailing Address
Dr. LAURISSA MARIE CHAMPION DMD
2115 NE 42ND AVE
PORTLAND, OR 97213-1321
Phone number: 503-954-1372
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