Dr. Julia Gourley DMD PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE60299927 Issued in WA

Legal business name

DR. JULIA GOURLEY DMD PC

Practice address

2020 9TH Ave Ste a
Longview, WA 98632-4072

Phone

(503) 840-8925

NPI assigned

Dec 31, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Julia Gourley, DMDNPI 1033465018

Title

Owner/Dentist

Phone

(503) 840-8925

Specialties & licenses 1

Addresses

Other names 1

• Longview Family Dental Doing business as

Locations

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 (past) Authorized official

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1407244221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 9TH AVE STE A",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324072",
            "telephone_number": "503-840-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 9TH AVE STE A",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324072",
            "telephone_number": "503-840-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JULIA GOURLEY DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "GOURLEY",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "503-840-8925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60299927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longview Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jodi A Donaldson, LICSW
• Hannah J Donayri, BA, C-AAC
• Jessica Doughty, DPT, PT
• Trudy Martine Doyle, PA-C
• Dr Azizi PLLC
• David I Dropkin, MA
• Renee Ducharme-Brodie, LMHC
• Megan Chono Dudley, M.D.
• Lisa Renee Dull
• Dunivin Denture LLC

• Dental Clinic/Center in Longview, WA
• Providers in Longview, 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 Dec 31, 2014; 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.