| Collector | Staahl, B. |
| Number | 3030 |
| Collected with | Jette Teilmann Knudsen |
| Country | Ecuador |
| Subpart | NAPO |
| County | |
| Locality | The Yasuni Biological Station on Rio Tiputini, ca 35 km by air SE of Pompeya. Primary varzea forest |
| Coordinates | 0° 40' S 76° 23' W |
| Minimum elevation (m) | 200 |
| Maximum elevation (m) | 300 |
| Start date | 1996/09/17 |
| End date | 1996/09/21 |
| Family | Rubiaceae |
| Identification | Psychotria sacciformis C.M. Taylor |
| Determined by | Taylor, C.M. (MO), 2003. |
| Identification qualifier | |
| Field notes | Shrub 2 m, corolla yellowish white. |
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