Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jon W Ahlstrom, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1437146065

Dr. Jon W Ahlstrom, MD is an Obstetrics/Gynecology in Logan, Utah. Qualified in 1991, 35 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Utah.

Years since qualifying
35
Licensed in
OR, UT
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

550 E 1400 N Ste I
Logan, UT 84341-2406
Phone: (435) 753-1545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 675 N 5th St Ste 200, Lebanon, OR 97355-2875 — (541) 451-6282

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence CP209732 (OR)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 49187661205 (UT)

Record details

NPI number1437146065
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 29, 2005
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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