Individual
PEDRO HUERTA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1695 CHELAN ST NE, KEIZER, OR 97303-2450
(503) 562-9863
Mailing address
1695 CHELAN ST NE, KEIZER, OR 97303-2450
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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