Individual
MATTHEW CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 NW LOVEJOY ST STE 411, PORTLAND, OR 97210-5102
(503) 413-5702
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(866) 463-2778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD177437
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD177437
OR
207RP1001X
Pulmonary Disease Physician
Primary
MD177437
OR
Other
Enumeration date
03/23/2012
Last updated
03/02/2021
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