Individual
ANJELINE BUENCAMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 239-8101
Mailing address
6707 N VAN HOUTEN AVE, PORTLAND, OR 97203-5243
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/24/2018
Last updated
10/03/2018
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