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

Jessa Fortaliza

Individual provider Peer Specialist · NPI 1932061298

Jessa Fortaliza is a Peer Specialist in Springfield, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

605 S 2nd St
Springfield, OR 97477-5313
Phone: (907) 942-1689
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 110173 (OR)

Record details

NPI number1932061298
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2025
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025

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