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JACQUELYN MARIE FORTNER M.A. CCC-SLP
NPI 1104387703
Speech-Language Pathologist in Medford, OR

Active since March 26, 2019
3265 BIDDLE RD, MEDFORD, OR 97504(541) 816-4747 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacquelyn Marie Fortner M.a. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN MARIE FORTNER M.A. CCC-SLP (NPI 1104387703) is an individual speech-language pathologist provider in Medford, Oregon, licensed in Oregon (016472) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1104387703
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJACQUELYN MARIE FORTNERCredential: M.A. CCC-SLP
Location Address3265 BIDDLE RDMedford, OR 97504-4122
Mailing Address63 Larkfield Maples CtSanta Rosa, CA 95403-1486 · (530) 859-3117
Phone(541) 816-4747
Sole ProprietorNo
Enumeration DateMarch 26, 2019
✔ NPI 1104387703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in OR · 016472✔ Licensed in CA · 27301
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
3265 BIDDLE RD, Medford, OR 97504
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA ANNE JONES OTR
Occupational Therapist (Pediatrics)
3265 BIDDLE RD
MEDFORD, OR 97504
Jackson County (541) 816-4747
ROGUE VALLEY DOULAS, LLC
Doula
3265 BIDDLE RD
MEDFORD, OR 97504
Jackson County (541) 690-8482
MRS. KAYDEE MAE LONG
Speech-Language Pathologist
3265 BIDDLE RD
MEDFORD, OR 97504
Jackson County (541) 816-4747
KIM DEMESMIN
Speech-Language Pathologist
3265 BIDDLE RD
MEDFORD, OR 97504
Jackson County (813) 653-1149
MS. ANGELA CRYSTAL BENDER OTR/L
Occupational Therapist (Pediatrics)
3265 BIDDLE RD
MEDFORD, OR 97504
Jackson County (541) 816-4747
JOSHUA PASTOR M.S. OTR/L
Occupational Therapist
3265 BIDDLE RD
MEDFORD, OR 97504
Jackson County (541) 816-4747
MISS MARIA CHRISTINE PIETRO PT, DPT
Physical Therapist
3265 BIDDLE RD
MEDFORD, OR 97504
Jackson County (541) 816-4747
ERIN SOULSBY
Occupational Therapist
3265 BIDDLE RD
MEDFORD, OR 97504
Jackson County (541) 816-4747

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Fortner's NPI number?

The NPI number for Jacquelyn Fortner is 1104387703. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Jacquelyn Fortner located?

Jacquelyn Fortner practices at 3265 Biddle Rd, Medford, OR 97504. The listed phone number is (541) 816-4747.

What is Jacquelyn Fortner's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Fortner was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.