Megan Ryan Kovacich, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

16790 Issued in OR

Practice address

2505 NE 23Rd St
Gresham, OR 97030-3146

Phone

(503) 661-6330

NPI assigned

Jun 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Megan Ryan Edwards Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1356026439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20699 NE GLISAN ST APT 229",
            "city": "FAIRVIEW",
            "state": "OR",
            "postal_code": "970243848",
            "telephone_number": "509-554-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 NE 23RD ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303146",
            "telephone_number": "503-661-6330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 NE 219th Ave",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970308495",
            "country_code": "US",
            "telephone_number": "503-492-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVACICH",
        "first_name": "MEGAN",
        "middle_name": "RYAN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "61441777",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "16790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "EDWARDS",
            "middle_name": "RYAN",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Audrey Jean Kolb, L.M.T.
• Elizabeth Kornegay, R.PH.
• Illona Kornienko
• Michael A Kostin
• Jennifer Kotley, LCSW
• Robert Joseph Kowal, D.D.S.
• Duane W Kowalski, CRM/PSS
• Sara A Koyano, QMHP-C, CADC-I
• Linda Mary Krausse, PT
• Hanson Ellis Davenport Kriegel, CSWA, MSW

• Speech-Language Pathologist in Gresham, OR
• Providers in Gresham, 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 16, 2023; 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.