IVAN GUTIERREZ NPI 1265822167

NPI Information

  • NPI: 1265822167
  • Provider Name: IVAN GUTIERREZ
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1245 EDGEWATER ST NW
    SALEM, OR
    ZIP 97304
  • Phone: (503) 588-5816

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NPI Details

Ivan Gutierrez is a mental health counselor in Salem, OR with 11 years of experience. Ivan Gutierrez NPI is 1265822167. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1245 EDGEWATER ST NW
SALEM, OR
ZIP 97304-049
Phone: (503) 588-5816
Fax: (503) 588-5803

The NPI 1265822167 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/29/2015 and was last updated on 1/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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