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 practises 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 Not confirmed with CMS for 18 years — call before visiting
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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