| Doctor Name: | MR. LARRY DAIN HUSTON |
| NPI Number: | 1184754392 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BC-HIS |
| License Number: | HAS-P-281719 |
| Business Practice Address: | 1939 E Burnside St Portland, OR - 972141535 |
| Business Phone Number: | 5032336141 |
| Business Fax Number: | 5032332889 |
| Mailing Address: | 26222 Ranch Road 12, DRIPPING SPRINGS |
| State: | TX |
| Postal Code: | 786204903 |
| Phone Number: | 5128580300 |
| Fax Number: | 5128582714 |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 03/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237700000X |
| License Number: | HAS-P-281719 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Hearing Instrument Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |