=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750208666
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANA MICHELLE BUENO-SALAZAR
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/01/2026
-----------------------------------------------------
Last Update Date | 07/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 550 W SPERRY STREET
-----------------------------------------------------
City | HEPPNER
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97836
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 541-676-9161
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 84014 HIGHWAY 339
-----------------------------------------------------
City | MILTON FREEWATER
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97862-7666
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-520-8201
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | NO.26-QMHP-R-4285
-----------------------------------------------------
License Number State | OR
-----------------------------------------------------