Colby, Alyssa Joann

Colby, Alyssa Joann is an sole proprietor health care provider with primary practice located at 375 Nw Beaver St Ste 100 , Prineville OR 97754-1802. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Colby, Alyssa Joann can be contacted via phone (541) 447-5165.

Contact Information

Primary practice address
375 Nw Beaver St Ste 100 Prineville OR 97754-1802
Phone: (541) 447-5165
Fax: (541) 447-3093
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X DEM-LD-10154656 Oregon
Other Service Providers / Community Health Worker 172V00000X Oregon

Profile Details

NPI number 1356784144
LBN Legal business name Colby, Alyssa Joann
Credentials IBCLC, CHW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2013
Last updated Feb 26th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356784144 NPPES
Oregon Other DEM-LD-10154656 MIDWIFERY LICENSE NUMBER

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