Eastside Periodontics & Implantology

LBN: Laurissa Champion Dmd Llc
Eastside Periodontics & Implantology is an health care organization with primary practice located at 2824 Ne Wasco St Suite 230, Portland OR 97232-1772. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Laurissa Champion Dmd Llc can be contacted via phone (503) 954-1372, or through Champion, Laurissa M via phone (503) 954-1372.

Contact Information

Primary practice address
2824 Ne Wasco St Suite 230 Portland OR 97232-1772
Phone: (503) 954-1372
Fax: (503) 954-1392
Website:
Map and Directions
Authorized official contact:
Name: Champion, Laurissa M Doctor of Dental Medicine (DMD)
Phone: (503) 954-1372

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X D8555 Oregon

Profile Details

NPI number 1063774784
LBN Legal business name Laurissa Champion Dmd Llc
DBA Doing business as Eastside Periodontics & Implantology
Authorized official Champion, Laurissa M Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2012
Last updated Jun 8th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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