Individual
PATRICK J. HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 331-5245
Mailing address
4123 N CONCORD AVE, PORTLAND, OR 97217-3344
(503) 249-3751
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OD00000849
WA
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
1043T
OR
Other
Enumeration date
08/18/2006
Last updated
07/10/2007
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