Individual
JENNIFER KAHANANUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4439 HAMRICK RD, CENTRAL POINT, OR 97502-2816
(541) 727-7669
Mailing address
3126 STATE ST STE 100, MEDFORD, OR 97504-8665
(458) 225-9358
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
23-QMHA-R-3577
OR
Other
Enumeration date
05/01/2023
Last updated
12/08/2025
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