| Collector | Balslev, H. |
| Number | 10562 |
| Collected with | Madsen, E. |
| Country | Ecuador |
| Subpart | NAPO |
| County | |
| Locality | Road Baeza - Lago Agrio, 18 km from Baeza (Puente Sardinas Grandes). Montane forest and secondary forest. |
| Coordinates | 0° 22' S 77° 49' W |
| Minimum elevation (m) | 1650 |
| Maximum elevation (m) | 1700 |
| Start date | 1976/11/02 |
| End date | 1976/11/02 |
| Family | Amaranthaceae |
| Identification | Chamissoa altissima (Jacq.)H.B.K. |
| Determined by | U. Eliasson |
| Identification qualifier | |
| Field notes | 2 m high shrub in secondary scrub. |
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