Provider Demographics
NPI:1962853556
Name:AJUFO, EKENE E (MD)
Entity type:Individual
Prefix:
First Name:EKENE
Middle Name:E
Last Name:AJUFO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 NW 11TH ST STE E33
Mailing Address - Street 2:
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838-8604
Mailing Address - Country:US
Mailing Address - Phone:541-667-3740
Mailing Address - Fax:541-303-8743
Practice Address - Street 1:600 NW 11TH ST STE E33
Practice Address - Street 2:
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838
Practice Address - Country:US
Practice Address - Phone:541-667-3740
Practice Address - Fax:541-303-8743
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-25
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME134931208000000X
TXR6958208M00000X, 208000000X
282NC2000X
ORMD221425208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No282NC2000XHospitalsGeneral Acute Care HospitalChildren