Individual
MR. LARRY DAIN HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
8800 SE SUNNYSIDE RD STE 300N, CLACKAMAS, OR 97015-5703
(503) 256-7200
(503) 653-9125
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(800) 328-8602
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
—
OR
237700000X
Hearing Instrument Specialist
Primary
HAS-P-281719
OR
Other
Enumeration date
03/06/2007
Last updated
02/04/2020
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