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Ms. Jade Funtanilla Kekaualua, RN
Family Nurse Practitioner in Tualatin, Oregon
NPI 1235823857

Jade Funtanilla Kekaualua is a Family Nurse Practitioner based in Tualatin, OR and is specialized in Family. Jade Funtanilla Kekaualua practices in Tualatin, OR and has the professional credentials of RN. The NPI Number for Jade Funtanilla Kekaualua is 1235823857 and holds a License No. 10018910 (Oregon).

The current practice location address for Jade Funtanilla Kekaualua is 19185 Sw 90Th Ave, Tualatin, OR and can be reached out via phone at 503-608-9694.

Location: 19185 Sw 90Th Ave, Tualatin, OR, 97062-7558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235823857
Provider Name
Jade Funtanilla Kekaualua
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
19185 Sw 90Th Ave, Tualatin, OR, 97062-7558
Phone Number
503-608-9694
Fax Number
Provider Enumeration Date
06/06/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
19185 Sw 90Th Ave
City
Tualatin
State
Oregon
Zip
97062-7558
Phone Number
503-608-9694
Fax Number
person
Provider Business Mailing Address Details
Address
19185 Sw 90Th Ave
City
Tualatin
State
Oregon
Zip
97062-7558
Phone Number
503-608-9694
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
10018910 (Oregon)
Definition
Definition to come...
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