| Collector | Balslev, H. |
| Number | 10398 |
| Collected with | Madsen, E. |
| Country | Ecuador |
| Subpart | NAPO |
| County | |
| Locality | Road Baeza - Tena, 8 km from Baeza. Partly cleared montane forest towards Río Cosanga. |
| Coordinates | 0° 31' S 77° 50' W |
| Minimum elevation (m) | 1800 |
| Maximum elevation (m) | 1900 |
| Start date | 1976/10/28 |
| End date | 1976/10/28 |
| Family | Campanulaceae |
| Identification | Siphocampylus affinis (Mirb.)McVaugh |
| Determined by | |
| Identification qualifier | |
| Field notes | On the roadbank. 2 m high shrub with few, erect stems. Flowers light yellow. |
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