Individual provider Active NPI

Rowan Bupp, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Eugene, OR
National Provider Identifier
1770026890
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
015679
Practice address
74 E 18TH Ave Ste 3
Eugene, OR 97401-4081
Phone
(541) 249-9918
Fax
(888) 489-9839
NPI assigned
Nov 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 15679 OR
Speech-Language Pathologist 235Z00000X 015679 Primary

Addresses

Primary practice location

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

Mailing address

74 E 18TH Ave Ste 3
Eugene, OR 97401-4081
Phone (412) 499-9185

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@oregonorofacial.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15679ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Orofacial LLC Speech-Language Pathologist CurrentSince May 26, 2024 Accepting new patients

Locations

74 E 18th Ave
Ste 3
Eugene, OR 97401
Phone (541) 249-9918

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1770026890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 E 18TH AVE STE 3",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014081",
            "telephone_number": "412-499-9185",
            "fax_number": "884-899-8398"
        },
        {
            "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": {
        "last_name": "BUPP",
        "first_name": "ROWAN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "15679",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "015679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@oregonorofacial.com",
            "affiliation": "N",
            "endpointDescription": "business email (HIPAA compliant)",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPAA compliant 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": []
}

Other providers in Eugene, OR

Sources for this page

  • 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.