Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larry Jose Gutierrez

Individual provider Peer Specialist · NPI 1134974074

Larry Jose Gutierrez is a Peer Specialist in Madras, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024
Specialties on file
2

Practice location Address checks out

236 SE D St
Madras, OR 97741-1619
Phone: (541) 475-5300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (OR)
Mental Health Counselor Taxonomy 101YM0800X (OR)

Record details

NPI number1134974074
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 23, 2024
Last updated in NPPESAugust 1, 2026
Certification dateAugust 1, 2026
Mailing addressPo Box 1710, Redmond, OR 97756-0516

Other providers in Madras