Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ivan Gutierrez

Individual provider Mental Health Counselor · NPI 1265822167

Ivan Gutierrez is a Clinical Social Worker in Salem, Oregon. Qualified in 2015, 11 years ago. Practices with Willamette Family Medical Center Inc, an 11-clinician group and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2015
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Practice location Address checks out

1245 Edgewater St NW
Salem, OR 97304-4049 Not confirmed with CMS for 11 years — call before visiting
Phone: (503) 588-5816
Fax: (503) 588-5803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1265822167
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 29, 2015
Last updated in NPPESJanuary 29, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Willamette Family Medical Center Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Willamette Family Medical Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 11 clinicians in the practice; 8 are shown here.

Other providers in Salem