Champion, Jennie Stover

Champion, Jennie Stover is an individual health care provider with primary practice located at 2801 N Gantenbein Ave Ste 3135, Portland OR 97227-1623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Champion, Jennie Stover can be contacted via phone (503) 413-2632.

Contact Information

Primary practice address
2801 N Gantenbein Ave Ste 3135 Portland OR 97227-1623
Phone: (503) 413-2632
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 224172 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD2011-0496 New Mexico
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD28609 Oregon
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 042.0012363 Vermont

Profile Details

NPI number 1114965498
LBN Legal business name Champion, Jennie Stover
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated May 18th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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