Healthcare Provider Details

I. General information

NPI: 1861999807
Provider Name (Legal Business Name): ANCA-MARIA BEJENARU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2018
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5228 NE HOYT ST BLDG B3
PORTLAND OR
97213-3055
US

IV. Provider business mailing address

PO BOX 31001-4180
PASADENA CA
91110-4180
US

V. Phone/Fax

Practice location:
  • Phone: 503-215-4860
  • Fax: 971-828-0138
Mailing address:
  • Phone: 503-215-6494
  • Fax: 971-828-0138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD224777
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: