MR. LARRY L. TRUEBLOOD (NPI# 1609938554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609938554 |
| Entity Type | Individual |
| Full Name | MR. LARRY L. TRUEBLOOD |
| Credential | BC-HIS |
| Practice Address |
1180 Ne Burnside Rd Gresham OR 97030-5711 |
| Practice Telephone | 5036693061 |
| Practice Fax Number | 5033280020 |
| Mailing Telephone | 5036693061 |
| Mailing Fax Number | 5033280020 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2015-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | HASP 745387 | OR | Speech, Language and Hearing Service Providers |
| Street Address |
1180 NE BURNSIDE RD |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861863052 | Lar Ken Enterprises, Inc. | Hearing Aid Equipment | 1180 Ne Burnside Rd, Gresham, OR 97030-5711 | 2015-10-13 |
| 1700284619 | Kenneth Lord | Hearing Instrument Specialist | 1180 Ne Burnside Rd, Gresham, OR 97030-5711 | 2014-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285702860 | Meredith Elaine Castellano | Hearing Instrument Specialist | 3845 Ne Division, Gresham, OR 97030 | 2006-12-01 |
| 1700834819 | John William Dillow | Hearing Instrument Specialist | 735 Se Mount Hood Hwy, Gresham, OR 97080-9156 | 2006-05-04 |
| 1700284619 | Kenneth Lord | Hearing Instrument Specialist | 1180 Ne Burnside Rd, Gresham, OR 97030-5711 | 2014-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982233250 | Jenessa Bolenbaugh | Hearing Instrument Specialist | 3250 Hillcrest Park Dr Ste 102, Medford, OR 97504-7684 | 2020-04-07 |
| 1144851270 | Katie Cason | Hearing Instrument Specialist | 369 S Columbia River Hwy, Saint Helens, OR 97051-6203 | 2020-01-28 |
| 1619533346 | Carolina Ruvalcaba Lozano | Hearing Instrument Specialist | 1301 Evergreen Rd Ste 120, Woodburn, OR 97071-2802 | 2019-05-17 |
| 1629538608 | Shawn Michael Feddersen | Hearing Instrument Specialist | 1020 Green Acres Rd #8, Eugene, OR 97408 | 2019-03-25 |
| 1457818080 | Emma Elizabeth Britten | Hearing Instrument Specialist | 401 E 10th Ave Ste 110, Eugene, OR 97401-3356 | 2019-03-01 |
| 1295201341 | Alyssa M Bartlett | Hearing Instrument Specialist | 2100 Ne Broadway St Ste 305, Portland, OR 97232-1570 | 2018-10-16 |
| 1801377171 | Brandon Ray Johnston | Hearing Instrument Specialist | 2285 Highway 101 Ste M, Florence, OR 97439-9722 | 2018-08-24 |
| 1013498377 | Best for Hearing | Hearing Instrument Specialist | 2285 Highway 101, Ste. M, Florence, OR 97439-9743 | 2018-08-24 |
| 1508358466 | Richard Ernest Swanson | Hearing Instrument Specialist | 1400 Executive Pkwy Ste 330, Eugene, OR 97401-7121 | 2018-06-05 |
| 1235656265 | Jacob Paul Tauzin | Hearing Instrument Specialist | 5455 Se 91st Ave, Portland, OR 97266-4603 | 2017-08-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. LARRY L. TRUEBLOOD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.