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Mr. Jonathan Ryan Fordyce, FNP-C
Family Nurse Practitioner in Portland, Oregon
NPI 1447736608

Jonathan Ryan Fordyce is a Family Nurse Practitioner based in Portland, OR and is specialized in Family. Jonathan Ryan Fordyce practices in Portland, OR and has the professional credentials of FNP-C. The NPI Number for Jonathan Ryan Fordyce is 1447736608 and holds a License No. AP137863 (Oregon).

The current practice location address for Jonathan Ryan Fordyce is 417 Sw 117Th Ave, Portland, OR and can be reached out via phone at 503-216-8980.

Location: 417 Sw 117Th Ave, Portland, OR, 97208-3158
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Provider Profile Details
NPI Number
1447736608
Provider Name
Jonathan Ryan Fordyce
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
417 Sw 117Th Ave, Portland, OR, 97208-3158
Phone Number
503-216-8980
Fax Number
Provider Enumeration Date
07/11/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500760115 05 OR
institution
Provider Business Practice Location Address Details
Address
417 Sw 117Th Ave
City
State
Zip
97225-5924
Phone Number
503-216-8980
Fax Number
person
Provider Business Mailing Address Details
Address
417 Sw 117Th Ave
City
State
Zip
97225-5924
Phone Number
503-216-8980
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP137863 (Texas)
Definition
Definition to come...
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