Provider Demographics
NPI:1861863052
Name:LAR KEN ENTERPRISES, INC.
Entity Type:Organization
Organization Name:LAR KEN ENTERPRISES, INC.
Other - Org Name:BESTCARE HEARING AID CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:TRUEBLOOD
Authorized Official - Suffix:
Authorized Official - Credentials:BC HIS
Authorized Official - Phone:503-669-3061
Mailing Address - Street 1:1180 NE BURNSIDE RD
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-5711
Mailing Address - Country:US
Mailing Address - Phone:503-669-3061
Mailing Address - Fax:503-328-0020
Practice Address - Street 1:1180 NE BURNSIDE RD
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-5711
Practice Address - Country:US
Practice Address - Phone:503-669-3061
Practice Address - Fax:503-328-0020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-13
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1600004281332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment