Search › Oregon › 1223E0200X
Jefferson Gourley, DDS
NPI 1003941170 · on the registry since 2007
Practice
- Address
- 3490 Lancaster Dr Ne
Salem, OR 97305 - Phone
- (855) 433-6825
- Organisation at this address
- Willamette Dental Group
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Additional practice sites
- 142 Pembrook St Se, Salem, OR
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Also registered as
- 1223E0200X
- Licence states on file
- WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon