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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356784144 | NPPES |
| Oregon | Other | DEM-LD-10154656 | MIDWIFERY LICENSE NUMBER |
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