Dr Julia Gourley PS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR JULIA GOURLEY PS

Doing business as

Pacific Park Family Dental

Practice address

1901 NE 162ND Ave Ste D112
Vancouver, WA 98684-3008

Phone

(360) 726-6107

NPI assigned

Sep 26, 2018

Organization subpart

No

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

Authorized official

Name

Scott Gourley

Title

Chief Financial Officer

Phone

(503) 840-8925

Specialties & licenses 1

Addresses

Other names 1

• Pacific Park Family Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julia Gourley, D.M.D.

  • General Practice Dentistry
  • Longview, WA
  • NPI 1033465018
  NPD

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1336624246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 NE 162ND AVE STE D112",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986843008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 NE 162ND AVE STE D112",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986843008",
            "telephone_number": "360-726-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JULIA GOURLEY PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "GOURLEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "503-840-8925"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Park Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dental Clinic/Center 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.