NPI 1003941170

Jefferson B Gourley, DDS

Practitioner Endodontics Salem, OR

Practice location

Address: 3490 Lancaster Dr NE, Salem, OR 97305-1356
Phone: (855) 433-6825
Mailing address: 6950 NE Campus Way, Hillsboro, OR 97124-5611

Registered specialties (2)

Endodontics Primary

Dental Providers Taxonomy 1223E0200X Licence D11009 (OR)

Other Dentist providers in Oregon →

Endodontics

Dental Providers Taxonomy 1223E0200X Licence DE60502349 (WA)

Registry record

NPI: 1003941170
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2007
Record last updated: 19 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.