Individual
DR. JANICE E BUENAFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16770 SW EDY RD, SUITE 102, SHERWOOD, OR 97140-9679
(503) 216-9600
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12372
NV
207Q00000X
Family Medicine Physician
Primary
MD155527
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500641864
—
OR
01
—
P01092578
RR MEDICARE (PH&S)-PMG
OR
Enumeration date
02/28/2007
Last updated
09/15/2021
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