Individual
ALYSSA JOANN COLBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, CHW
Contact information
Practice address
375 NW BEAVER ST STE 100, PRINEVILLE, OR 97754-1802
(541) 447-5165
(541) 447-3093
Mailing address
5441 S MACADAM AVE # 5915, PORTLAND, OR 97239-6106
(541) 364-5554
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
OR
174N00000X
Lactation Consultant (Non-RN)
Primary
LC-LC-10207379
OR
176B00000X
Midwife
DEM-LD-10154656
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DEM-LD-10154656
MIDWIFERY LICENSE NUMBER
OR
Enumeration date
04/10/2013
Last updated
04/10/2026
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