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Imer Gutierrez
Peer Specialist in Madras, Oregon
NPI 1750852505

Imer Gutierrez is a Peer Specialist based in Bend, OR. Imer Gutierrez practices in Madras, OR. The NPI Number for Imer Gutierrez is 1750852505 and holds a License No. 18-CRM-382 (Oregon).

The current practice location address for Imer Gutierrez is 125 Sw C St, Madras, OR and can be reached out via phone at 541-306-4566 and via fax at 541-320-9005.

Location: 125 Sw C St, Madras, OR, 97701-4268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750852505
Provider Name
Imer Gutierrez
Credential
Provider Entity Type
Individual
Gender
Male
Address
125 Sw C St, Madras, OR, 97701-4268
Phone Number
541-306-4566
Fax Number
541-320-9005
Provider Enumeration Date
12/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 Sw C St
City
Madras
State
Oregon
Zip
97741-1458
Phone Number
541-306-4566
Fax Number
541-320-9005
person
Provider Business Mailing Address Details
Address
125 Sw C St
City
Madras
State
Oregon
Zip
97741-1458
Phone Number
541-306-4566
Fax Number
541-320-9005
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
18-CRM-382 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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