Oregon Orofacial LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

OREGON OROFACIAL LLC

Practice address

74 E 18TH Ave Ste 3
Eugene, OR 97401-4081

Phone

(541) 249-9918

Fax

(888) 489-9839

NPI assigned

Oct 24, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rowan Allyn Bupp, CCC-SLPNPI 1770026890

Title

Speech-Language Pathologist

Phone

(541) 232-8805

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rowan Bupp, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Eugene, OR
  • NPI 1770026890
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1003533860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 CITY VIEW ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023464",
            "telephone_number": "541-232-8805",
            "fax_number": "877-313-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 E 18TH AVE STE 3",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014081",
            "telephone_number": "541-249-9918",
            "fax_number": "888-489-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON OROFACIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "BUPP",
        "authorized_official_first_name": "ROWAN",
        "authorized_official_middle_name": "ALLYN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "541-232-8805",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@oregonorofacial.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant professional email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPAA compliant professional email",
            "address_1": "1724 City View St",
            "city": "Eugene",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974023464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Eugene, OR
• Providers in Eugene, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.