Individual provider · Type 1 NPI

Jessa Fortaliza

Peer Specialist · Springfield, OR

NPI number 1932061298 Active

Practice location

605 S 2nd St
Springfield, OR 97477-5313

Call (907) 942-1689 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X110173 (OR)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1932061298

Jessa Fortaliza's National Provider Identifier is 1932061298, issued on Nov 25, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Springfield, OR. The record was last updated on Nov 25, 2025.