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

Cheyenne Modrall

Individual provider Community Health Worker · NPI 1205674140

Cheyenne Modrall is a Community Health Worker in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

3031 NE Stephens St
Roseburg, OR 97470-6237
Phone: (541) 229-7051
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence THW000111429 (OR)

Record details

NPI number1205674140
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 16, 2024
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024
Mailing address3031 Ne Stephens St, Roseburg, OR 97470-6237

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