DR. JEFFERSON B GOURLEY


Address: 142 Pembrook St Se, Salem, OR 97302-5038
Phone: 8554336825

DR. JEFFERSON B GOURLEY (NPI# 1003941170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003941170
Entity Type Individual
Full Name DR. JEFFERSON B GOURLEY
Credential DDS
Practice Address 142 Pembrook St Se
Salem
OR 97302-5038
Mailing Address 6950 Ne Campus Way
Hillsboro
OR 97124-5611
Practice Telephone 8554336825
Mailing Telephone 8554336825
Enumeration Date 2007-02-22
Last Update Date 2019-03-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223E0200X Dentist
Specialization: Endodontics
DE60502349 WA Dental Providers
Y 1223E0200X Dentist
Specialization: Endodontics
D11009 OR Dental Providers

Office Location

Street Address 142 PEMBROOK ST SE
City SALEM
State OR
Zip Code 97302-5038

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508352931 Troy Michael Heisch Dentist 142 Pembrook St Se, Salem, OR 97302 2018-07-09
1508389586 Leif Joseph Gambee Dentist 142 Pembrook St Se, Salem, OR 97302-5038 2017-07-20
1194248427 Emmy Cristina Garcia Dentist 142 Pembrook St Se, Salem, OR 97302-5038 2017-07-19
1134675580 Natalija Kokoreva Dentist 142 Pembrook St Se, Salem, OR 97302 2016-08-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952954679 Eric Anthony Bohm Pharmacist 2757 22nd St. Se, Salem, OR 97302 2019-07-22
1598223737 Michael Robert Martini Counselor 960 Liberty Rd Se Suite 120, Salem, OR 97302 2019-03-06
1659857480 Avalina Pharmacy Inc Pharmacy 3507 Commercial St Se, Salem, OR 97302 2018-07-16
1649762733 Joseph Bochsler Physical Therapist 3220 Liberty Rd. S., Salem, OR 97302 2018-06-04
1922533652 Brianne Elizabeth Sischo Licensed Practical Nurse 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 2017-05-01
1851825566 Modern Nose Clinic LLC Otolaryngology 340 Vista Ave Se, Ste 100, Salem, OR 97302 2017-04-19
1720529803 Nicholas Forsberg Massage Therapist 126 Mize Rd S, Salem, OR 97302 2017-03-09
1437691078 Kimo Mahi Specialist/Technologist, Other 2373 Kuebler Rd. S, Salem, OR 97302 2016-11-14
1588113278 New Life Family Medicine LLC Clinic/Center 842 Commercial Street Ne, Salem, OR 97302 2016-09-23
1073060117 Susan Morag Robnett Counselor 912 Fir Street South, Salem, OR 97302 2016-09-07
Find all providers in zip 97302

Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386069151 Tcd Endodontics Dentist 620 12th St. Se, Salem, OR 97301 2014-03-03
1811088222 Lisa Beth Wipf Dentist 3389 Center St Ne, Salem, OR 97301 2006-09-28
1730198359 Endodontics Inc Dentist 2 Winter St, Salem, MA 01970-3807 2006-08-05
1457369969 Chris J Bowman Dentist 830 Liberty St Ne, Salem, OR 97301-2450 2006-08-03
1316962913 Marvin E. Thews Jr. Dentist 1940 Braeburn Dr, Salem, VA 24153-7383 2006-07-13
1891789376 Kevin Roy Christiansen Dentist 4342 Liberty Rd S, Salem, OR 97302-6171 2005-09-09
1922647312 - Dentist 4342 Liberty Rd S, Salem, OR 97302-6171 2020-01-02
1558779579 David Cheung-fai Lau Dentist 620 12th St. Se, Salem, OR 97301 2014-07-23
1801216643 Willamette Valley Endodontics, PC Dentist 805 High St Ne, Salem, OR 97301-2442 2014-04-20
1881969244 Salem Endodontic Associates Dentist 4342 Liberty Rd S, Salem, OR 97302-6171 2012-03-19
Find all providers in SALEM

Competitor

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City SALEM
Zip Code 97302

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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