DR. JEFFERSON B GOURLEY (DDS) – Endodontics, NPI 1003941170

DR. JEFFERSON B GOURLEY (DDS) is a healthcare provider. based in Salem, Oregon. specializing in Endodontics. They hold the professional credentials DDS. They hold a License No. DE60502349 (WA). The NPI Number for DR. JEFFERSON B GOURLEY (DDS) is 1003941170

Main info

Male
Name
DR. JEFFERSON B GOURLEY (DDS)
NPI
1003941170
Phone
(855) 433-6825
Address
142 PEMBROOK ST SE
Enumeration Date
22 February 2007
Last Update Date
19 May 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for DR. JEFFERSON B GOURLEY (DDS)

  • 142 PEMBROOK ST SE

    SALEM, OR 973025038

    Phone: (855) 433-6825

    Type: Location

  • 142 Pembrook St SE

    Salem, OR 973025038

    Phone: (855) 433-6825

    Type: Location

  • 6950 NE CAMPUS WAY

    HILLSBORO, OR 971245611

    Phone: (855) 433-6825

    Type: Mailing

  • 3490 LANCASTER DR NE

    SALEM, OR 973051356

    Phone: (855) 433-6825

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-05-03

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97302)

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Reviews

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Frequently asked questions

What is the standard ID for DR. JEFFERSON B GOURLEY (DDS) in the U.S.?
In the U.S., DR. JEFFERSON B GOURLEY (DDS) is identified by NPI 1003941170.
Should I treat DR. JEFFERSON B GOURLEY (DDS) as an active provider?
Patients and plans typically see DR. JEFFERSON B GOURLEY (DDS) as active in the national extract.
What does the directory say DR. JEFFERSON B GOURLEY (DDS) does?
Insurance directories may phrase it differently, but here DR. JEFFERSON B GOURLEY (DDS) maps to Endodontics. Clinical services aligned with this taxonomy classification.
Is DR. JEFFERSON B GOURLEY (DDS) tied to Salem, Oregon?
If you are local to Salem, Oregon, DR. JEFFERSON B GOURLEY (DDS) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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