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Mountain Lake
Licensee/Applicant Lookup
Licensee/Applicant Detail - Verification of Licensure/Application Status

Information current as of: 05/16/2013
Query Time: 05/18/2013 03:12:08 am

This site is a primary source for verification of license/applicant credentials and is updated daily.


License/Application Number 1708
First Name Wendy J.
Last Name Bourg
Title Ph.D.
Address 2701 NW Vaughn St., Ste.# 350
City Portland
State OR
Country U.S.A
Phone Number 503-279-8252 x806
Status Active Psychologist
Date Licensed 4/28/2006
Expiration Date 7/31/2013
Proposed or Final Board Action No
Under Supervision No

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