Kekaualua, Jade Funtanilla

Kekaualua, Jade Funtanilla is an individual health care provider with primary practice located at 19185 Sw 90Th Ave , Tualatin OR 97062-7558. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kekaualua, Jade Funtanilla can be contacted via phone (503) 608-9694.

Contact Information

Primary practice address
19185 Sw 90Th Ave Tualatin OR 97062-7558
Phone: (503) 608-9694
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10018910 Oregon

Profile Details

NPI number 1235823857
LBN Legal business name Kekaualua, Jade Funtanilla
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2023
Last updated Apr 5th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers