Organization
DR JULIA GOURLEY PS
Active
Other names
Pacific Park Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT GOURLEY (CHIEF FINANCIAL OFFICER)
(503) 840-8925
Entity
Organization
Contact information
Practice address
1901 NE 162ND AVE STE D112, VANCOUVER, WA 98684-3008
(360) 726-6107
Mailing address
1901 NE 162ND AVE STE D112, VANCOUVER, WA 98684-3008
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
11/28/2022
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