Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jonathan Ryan Fordyce, FNP-C

Individual provider Family Nurse Practitioner · NPI 1447736608

Mr. Jonathan Ryan Fordyce, FNP-C is a Nurse Practitioner in Portland, Oregon. Qualified in 2018, 8 years ago. Practices with Lifeworks NW, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

417 SW 117th Ave
Portland, OR 97225-5924
Phone: (503) 216-8980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP137863 (TX)

Record details

NPI number1447736608
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 11, 2018
Last updated in NPPESMarch 9, 2021
Certification dateMarch 9, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Lifeworks Nw — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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