Individual
DR. DANE M BORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
847 NE 19TH AVE STE 150, PORTLAND, OR 97232-2686
(503) 235-6256
(503) 764-9646
Mailing address
847 NE 19TH AVE STE 150, PORTLAND, OR 97232-2686
(503) 235-6256
(503) 764-9646
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1578
OR
103TH0100X
Health Service Psychologist
1578
OR
Other
Enumeration date
03/21/2007
Last updated
06/21/2023
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