Dr. Jefferson B Gourley
Endodontist
3490 Lancaster Dr Ne
Salem
, Oregon 97305-1356
Dr. Jefferson B Gourley
Endodontist
3490 Lancaster Dr Ne
Salem
, Oregon 97305-1356
(855) 433-6825
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Jefferson B Gourley
- 6950 Ne Campus Way
- Hillsboro, OR
- Zip : 97124-5611
- Phone : (855) 433-6825
Second Address
- Dr. Jefferson B Gourley
- 3490 Lancaster Dr Ne
- Salem, OR
- Zip : 97305-1356
- Phone : (855) 433-6825
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | D11009 | OR |
| N | 1223E0200X | Endodontist | DE60502349 | WA |
National Provider Identifier
| NPI | 1003941170 |
|---|---|
| Provider Name | Dr. Jefferson B Gourley |
| First Address | Hillsboro, OR 97124-5611 |
| Second Address | Salem, OR 97305-1356 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2007 |
| Last Update Date | 19/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.