Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYN MARIE FORTNER, M.A. CCC-SLP
ActiveJACQUELYN MARIE FORTNER, M.A. CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in MEDFORD, Oregon. NPI 1104387703 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · MEDFORD, OR
Registration Details
- NPI Number
- 1104387703
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2019 (7.3446752738707 yrs)
- Last Updated
- Mar 26, 2019
- Licenses
-
27301 (CA)016472 (OR)
Practice Information
- Address
-
3265 BIDDLE RDMEDFORD, OR, 975044122Browse OR providers · Browse ZIP 97504
- Phone
- 5418164747
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
- Additional Specialty
- Speech, Language and Hearing Specialist
Other Speech, Language and Hearing Specialist Providers in MEDFORD, OR
| Name | Credential | NPI |
|---|---|---|
| JENNIFER L BILLS | M.A.,CCC-SLP | 1255419792 |
| MRS. SUSAN PORCARO | M.A., CCC-SLP | 1801932637 |
| KIRSTEN FERGUSON | SLP | 1396874707 |
| KATHERINE MCFARLAND | SLP | 1467581876 |
| ASHLEY REJCEK | SLP | 1427187830 |
| BRIAN RHEAULT | SLP | 1588793087 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.