Individual provider · Type 1 NPI

Ren Geena Fonbuena

Clinical Social Worker · Portland, OR

NPI number 1972068872 Active

Practice location

2250 NW Flanders St Ste 201
Portland, OR 97210-5410

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1972068872

Ren Geena Fonbuena's National Provider Identifier is 1972068872, issued on Feb 5, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Aug 5, 2026.