| Doctor Name: | MS. WENDY ANN BRIDGES |
| NPI Number: | 1023359379 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSW, QMHA |
| License Number: | |
| Business Practice Address: | 10313 Sw 69th Ave Tigard, OR - 972239103 |
| Business Phone Number: | 5037263698 |
| Business Fax Number: | 5037263699 |
| Mailing Address: | 10313 Sw 69th Ave, TIGARD |
| State: | OR |
| Postal Code: | 972239103 |
| Phone Number: | 5037263698 |
| Fax Number: | 5037263699 |
| NPI Enumeration Date: | 03/12/2013 |
| NPI Last Update Date: | 03/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |