Ryan Joseph Depauw

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17505 Issued in OR

Practice address

1815 NW 169TH PL Ste 3070
Beaverton, OR 97006-7368

Phone

(971) 249-2653

Fax

(503) 747-4373

NPI assigned

Jun 20, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR, CA2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Expressable Therapy PC

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1134875370

  OR

  Medicare reassignment NPD
• Expressable Speech-Language Pathology, P.C.

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1649875857

  CA

  Medicare reassignment

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1023749124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 NW 169TH PL STE 3070",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067368",
            "telephone_number": "971-249-2653",
            "fax_number": "503-747-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 NW 169TH PL STE 3070",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067368",
            "telephone_number": "971-249-2653",
            "fax_number": "503-747-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAUW",
        "first_name": "RYAN",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "boldoffice@boldpediatrictherapy.com",
            "affiliation": "N",
            "endpointDescription": "organization email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1815 NW 169th Pl Ste 3070",
            "city": "Beaverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970067368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dental Professionals of Oregon, P.C.
• Dentistry by Design, PC
• Dentistry by Design, PC
• Susan Denton
• Sarah Klimek Denu
• Jason Derico, N.D.
• Rahul Naren Desai, MD
• Elisabeth Desmarais, LMT
• Danielle Desrochers, MD
• Rosemary F Detmer Stone, O.D.

• Speech-Language Pathologist in Beaverton, OR
• Providers in Beaverton, 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 Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.