Healthcare Provider Details

I. General information

NPI: 1053743443
Provider Name (Legal Business Name): DAVID LECHNYR LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 NW LOVEJOY ST
PORTLAND OR
97210-2859
US

IV. Provider business mailing address

1292 HIGH ST # 1163
EUGENE OR
97401-3238
US

V. Phone/Fax

Practice location:
  • Phone: 503-941-0490
  • Fax:
Mailing address:
  • Phone: 503-941-0490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-17754
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL4134
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: