Individual
JON E EKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 HILYARD ST STE 330, EUGENE, OR 97401-8110
(541) 687-7134
(541) 687-7135
Mailing address
445 HARLOW RD STE 200, SPRINGFIELD, OR 97477-1341
(541) 302-7771
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD00025311
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD15909
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081315
—
OR
05
—
8296725
—
WA
05
—
MD5427R
—
AK
05
—
MD893OR
—
AK
Enumeration date
07/13/2006
Last updated
07/05/2024
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