Bourg, Wendy June

Bourg, Wendy June is an sole proprietor health care provider with primary practice located at 2701 Nw Vaughn St Suite 350, Portland OR 97210-5311. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Bourg, Wendy June can be contacted via phone (503) 972-9806.

Contact Information

Primary practice address
2701 Nw Vaughn St Suite 350 Portland OR 97210-5311
Phone: (503) 972-9806
Fax: (503) 279-8926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1708 Oregon
Behavioral Health & Social Service Providers / Forensic 103TF0200X 1708 Oregon

Profile Details

NPI number 1427276146
LBN Legal business name Bourg, Wendy June
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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