Provider Demographics
NPI:1063985430
Name:HUSE, ALEXANDER R
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:R
Last Name:HUSE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 VALLEY RIVER DR STE 395
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2132
Mailing Address - Country:US
Mailing Address - Phone:541-393-8169
Mailing Address - Fax:541-743-4179
Practice Address - Street 1:1600 VALLEY RIVER DR STE 395
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2132
Practice Address - Country:US
Practice Address - Phone:541-393-8169
Practice Address - Fax:541-743-4179
Is Sole Proprietor?:No
Enumeration Date:2019-01-08
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10244061237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist