Individual
WENDY JUNE BOURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2701 NW VAUGHN ST, SUITE 350, PORTLAND, OR 97210-5311
(503) 972-9806
(503) 279-8926
Mailing address
2701 NW VAUGHN ST, SUITE 350, PORTLAND, OR 97210-5311
(503) 972-9806
(503) 279-8926
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1708
OR
103TF0200X
Forensic Psychologist
Primary
1708
OR
Other
Enumeration date
04/20/2007
Last updated
09/11/2025
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