Individual
MS. JADE FUNTANILLA KEKAUALUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9205 SW BARNES RD STE 861, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
9205 SW BARNES RD STE 861, PORTLAND, OR 97225-6603
(503) 216-1234
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10018910
OR
Other
Enumeration date
06/06/2023
Last updated
09/10/2025
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