DR. JENNIE STOVER CHAMPION M.D.
NPI 1114965498
Pediatrics - Pediatric Critical Care Medicine in Portland, OR

Q: What is Jennie Champion's NPI number?

The NPI number for Jennie Champion is 1114965498. It was assigned to this individual provider in the NPPES registry on June 2, 2006. The provider is also known as Jennie Elizabeth Stover M.D..

Q: What is Jennie Champion's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Jennie Champion was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 02, 2006PECOS Enrolled

2801 N GANTENBEIN AVE, STE 3135, PORTLAND, OR 97227(503) 413-2632 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Jennie Stover Champion M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIE STOVER CHAMPION M.D. (NPI 1114965498) is an individual pediatric critical care medicine provider in Portland, Oregon, licensed in Oregon (MD28609) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114965498

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. JENNIE STOVER CHAMPIONCredential: M.D.

Location Address2801 N GANTENBEIN AVE, STE 3135Portland, OR 97227-1623

Mailing Address2801 N Gantenbein Ave, Ste 3135Portland, OR 97227-1623

Phone(503) 413-2632

Sole ProprietorNo

Enumeration DateJune 2, 2006

Last NPPES UpdateMay 18, 2016

✔ NPI 1114965498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in OR · MD28609✔ Licensed in NM · MD2011-0496✔ Licensed in MA · 224172✔ Licensed in VT · 042.0012363

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

2801 N GANTENBEIN AVE, Portland, OR 97227

Open in Google Maps ↗

Other Names 1

Former Name (1)Jennie Elizabeth Stover M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennie Stover Champion M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARI MAGNUSSEN MS

Genetic Counselor, MS