Julia Gourley, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60299927 Issued in WA

Practice address

2020 9TH Ave
Longview, WA 98632-4072

Phone

(360) 423-5580

Fax

(360) 425-5596

NPI assigned

Jul 27, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Julia Gourley DMD PC

  • Dental Clinic/Center
  • Longview, WA
  • NPI 1407244221
  NPD (past) Authorized official
• Dr Julia Gourley PS

  • Dental Clinic/Center
  • Vancouver, WA
  • NPI 1336624246
  NPD
• Jared a Franson, DMD, PS

  • General Practice Dentistry
  • Longview, WA
  • NPI 1659793396
  NPD (past)
• Susana Lee, PLLC

  • General Practice Dentistry
  • Vancouver, WA
  • NPI 1407732639
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1033465018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 9TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324072",
            "telephone_number": "360-423-5580",
            "fax_number": "360-423-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 9TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324072",
            "telephone_number": "360-423-5580",
            "fax_number": "360-425-5596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Valley River Way",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012159",
            "country_code": "US",
            "telephone_number": "360-696-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8101 NE Parkway Dr Ste F2",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986622434",
            "country_code": "US",
            "telephone_number": "360-882-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOURLEY",
        "first_name": "JULIA",
        "name_prefix": "Mrs.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60299927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Gonzalez
• Gretchen M Goodman, MS, CCC-SLP
• Patricia S Goodman, RD
• Suzanne Gosch
• George T Goucher, PA
• Grace Family Dental
• Daniel Gradin, M.D.
• Jason Scott Graeme, PA-C
• J'Aime Ellen Graff, BA, C.C.C.E.
• Marie A. Grant, RPH

• General Practice Dentistry in Longview, WA
• Providers in Longview, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.