DR. LAURISSA MARIE CHAMPION DMD
NPI 1568559003
Dentist - Periodontics in Portland, OR

Q: What is Laurissa Champion's NPI number?

The NPI number for Laurissa Champion is 1568559003. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Q: What is Laurissa Champion's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Laurissa Champion was last updated on September 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 October 06, 2006PECOS Enrolled

2115 NE 42ND AVE, PORTLAND, OR 97213(503) 954-1372(503) 954-1392 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Laurissa Marie Champion Dmd NPPES

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

DR. LAURISSA MARIE CHAMPION DMD (NPI 1568559003) is an individual periodontics provider in Portland, Oregon, licensed in Oregon (D8555) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568559003

Entity TypeIndividualFemale

Primary Taxonomy1223P0300X

Provider Legal NameDR. LAURISSA MARIE CHAMPIONCredential: DMD

Location Address2115 NE 42ND AVEPortland, OR 97213-1321

Mailing Address2115 Ne 42nd AvePortland, OR 97213-1321 · (503) 954-1372 · Fax (503) 954-1392

Phone(503) 954-1372

Fax(503) 954-1392

Sole ProprietorNo

Enumeration DateOctober 6, 2006

Last NPPES UpdateSeptember 15, 2008

✔ NPI 1568559003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in OR · D8555

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.

2115 NE 42ND AVE, Portland, OR 97213

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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. Laurissa Marie Champion Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. JOHN WILLIAM HOLLAND DDS

Dentist (General Practice)

2115 NE 42ND AVE
PORTLAND, OR 97213

Multnomah County (503) 281-8551

MARK T EILERS DMD

Clinic/Center (Dental)

2115 NE 42ND AVE
PORTLAND, OR 97213

Multnomah County (503) 281-8110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurissa Champion's NPI number?

The NPI number for Laurissa Champion is 1568559003. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Laurissa Champion located?

Laurissa Champion practices at 2115 NE 42nd Ave, Portland, OR 97213. The listed phone number is (503) 954-1372.

What is Laurissa Champion's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Laurissa Champion enrolled in Medicare?

Yes. Laurissa Champion is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laurissa Champion was last updated on September 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.