Individual provider · Type 1 NPI

Jennie Stover Champion, MD

Pediatric Critical Care Medicine Physician · Portland, OR

NPI number 1114965498 Active

Practice location

2801 N Gantenbein Ave, Ste 3135
Portland, OR 97227-1623

Call (503) 413-2632 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Critical Care Medicine Physician 2080P0203X224172 (MA)
Pediatric Critical Care Medicine Physician 2080P0203XMD2011-0496 (NM)
Pediatric Critical Care Medicine Physician Primary 2080P0203XMD28609 (OR)
Pediatric Critical Care Medicine Physician 2080P0203X042.0012363 (VT)

Pediatric Critical Care Medicine Physician: A pediatrician 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…

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About NPI 1114965498

Jennie Stover Champion, MD's National Provider Identifier is 1114965498, issued on Jun 2, 2006. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Portland, OR. The record was last updated on May 18, 2016.