Individual
GEENA FONBUENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
714 MAIN ST STE B207, OREGON CITY, OR 97045-1826
(503) 498-8249
(458) 234-4466
Mailing address
714 MAIN ST STE B207, OREGON CITY, OR 97045-1826
(503) 498-8249
(458) 234-4466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/05/2019
Last updated
05/25/2022
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