Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacquelyn Marie Fortner, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1104387703

Jacquelyn Marie Fortner, MACCC-SLP is a Speech-Language Pathologist in Medford, Oregon. Licensed in California and Oregon. Registered with an NPI since 2019.

Licensed in
CA, OR
In the registry since
2019
Specialties on file
2

Practice location Address checks out

3265 Biddle Rd
Medford, OR 97504-4122
Phone: (541) 816-4747
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 016472 (OR)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 27301 (CA)

Record details

NPI number1104387703
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedMarch 26, 2019
Last updated in NPPESMarch 26, 2019

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