Fortner, Jacquelyn Marie

Fortner, Jacquelyn Marie is an individual health care provider with primary practice located at 3265 Biddle Rd , Medford OR 97504-4122. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fortner, Jacquelyn Marie can be contacted via phone (541) 816-4747.

Contact Information

Primary practice address
3265 Biddle Rd Medford OR 97504-4122
Phone: (541) 816-4747
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 27301 California
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 016472 Oregon

Profile Details

NPI number 1104387703
LBN Legal business name Fortner, Jacquelyn Marie
Credentials M.A. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2019
Last updated Mar 26th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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