JONATHAN RYAN FORDYCE

PORTLAND, OR
NPI1447736608
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP137863)
Enumeration Date2018-07-11
Last Update Date2021-03-09
Business Address
Mr. JONATHAN RYAN FORDYCE FNP-C
417 SW 117TH AVE
PORTLAND, OR 97225-5924
Phone number: 503-216-8980
Mailing Address
Mr. JONATHAN RYAN FORDYCE FNP-C
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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