Dr. Jennie Stover Champion
Pediatric Critical Care Doctor
2801 N Gantenbein Ave Ste 3135
Portland
, Oregon 97227-1623
Dr. Jennie Stover Champion
Pediatric Critical Care Doctor
2801 N Gantenbein Ave Ste 3135
Portland
, Oregon 97227-1623
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Dr. Jennie Stover Champion
- 2801 N Gantenbein Ave Ste 3135
- Portland, OR
- Zip : 97227-1623
- Phone :
Second Address
- Dr. Jennie Stover Champion
- 2801 N Gantenbein Ave Ste 3135
- Portland, OR
- Zip : 97227-1623
- Phone : (503) 413-2632
Reviews
FAQs
Where did Dr. Jennie Stover Champion attend graduate school?
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What type of doctor is Dr. Jennie Stover Champion
In what state does Dr. Jennie Stover Champion practice in?
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Is Dr. Jennie Stover Champion a sole practitioner?
Is Dr. Jennie Stover Champion accepting new patients?
What languages does Dr. Jennie Stover Champion speak?
Does Dr. Jennie Stover Champion accept insurance?
Does Dr. Jennie Stover Champion offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2080P0203X | Pediatric Critical Care Doctor | 042.0012363 | VT |
| N | 2080P0203X | Pediatric Critical Care Doctor | 224172 | MA |
| N | 2080P0203X | Pediatric Critical Care Doctor | MD2011-0496 | NM |
| Y | 2080P0203X | Pediatric Critical Care Doctor | MD28609 | OR |
National Provider Identifier
| NPI | 1114965498 |
|---|---|
| Provider Name | Dr. Jennie Stover Champion |
| First Address | Portland, OR 97227-1623 |
| Second Address | Portland, OR 97227-1623 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2006 |
| Last Update Date | 18/05/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.