Healthcare Provider Details

I. General information

NPI: 1164388559
Provider Name (Legal Business Name): CHEYENNE LEFEVER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 SW CEDARWOOD AVE
MCMINNVILLE OR
97128-6818
US

IV. Provider business mailing address

340 S CEDAR ST
YAMHILL OR
97148-8622
US

V. Phone/Fax

Practice location:
  • Phone: 503-435-1550
  • Fax:
Mailing address:
  • Phone: 503-883-3506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: