Dr. Jennie Stover Champion
M.D. | Pediatric Critical Care Medicine | Female
Dr. Jennie Stover Champion, M.D. is a Portland, Oregon based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine. Dr. Jennie Stover Champion is also known as
Jennie Elizabeth Stover.
Current practice location of Dr. Jennie Stover Champion is
2801 N Gantenbein Ave, Ste 3135, Portland, Oregon - 97227-1623. She can be contacted on phone at
503-413-2632.
Dr. Jennie Stover Champion is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Jennie Stover Champion is
1114965498 which was assigned by NPPES on 02 Jun, 2006 and it was last updated on 18 May, 2016.
Dr. Jennie Stover Champion license number is
MD28609 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Oregon.
Dr. Jennie Stover Champion is 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.
Complete Profile:
Dr. Jennie Stover Champion basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Dr. Jennie Stover Champion |
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| Other Name : | Jennie Elizabeth Stover |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Jennie Stover Champion address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2801 N Gantenbein Ave, Ste 3135
Portland, OR, 97227-1623
United States |
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| Phone Number : | 503-413-2632 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1114965498 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Jun, 2006 |
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| Last Updated On : | 18 May, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jennie Stover Champion are as mentioned. Primary taxonomy code for Dr. Jennie Stover Champion, M.D. is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | MD2011-0496 | NM |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | 224172 | MA |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | 042.0012363 | VT |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | MD28609 | OR |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2801 N Gantenbein Ave, Ste 3135
Portland, OR, 97227-1623
United States |
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Business Location:
Patients can refer following map for directions to
Dr. Jennie Stover Champion practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.