Laurissa Champion DMD LLC
NPI 1063774784ActiveOrganization· Dentist, Periodontics· Portland, OR
Dentist, Periodontics in Portland, Oregon, registered in NPPES in June 2012. The authorized official on file is Laurissa M. Champion, DMD, Owner.
Overview
| NPI | 1063774784 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 8, 2012 |
| Last updated in NPPES | Jun 8, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | D8555 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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