Individual
JONATHAN JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
445 HARLOW RD STE 200, SPRINGFIELD, OR 97477-1341
(541) 302-7771
Mailing address
445 HARLOW RD STE 200, SPRINGFIELD, OR 97477-1341
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD61199843
WA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD206381
OR
Other
Enumeration date
06/03/2015
Last updated
07/12/2024
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