Individual
JEFFREY J BUENJEMIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10202 SE 32ND AVE STE 701, MILWAUKIE, OR 97222-3625
(503) 513-1410
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A91893
CA
2084P0800X
Psychiatry Physician
Primary
MD183571
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7068
—
CA
05
—
7420
—
CA
Enumeration date
08/14/2007
Last updated
02/15/2021
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