Provider Demographics
NPI:1144006941
Name:ROSS, ALAYNA YVONNE (RN, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:ALAYNA
Middle Name:YVONNE
Last Name:ROSS
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6179 NE 17TH AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97211-4879
Mailing Address - Country:US
Mailing Address - Phone:503-679-6569
Mailing Address - Fax:
Practice Address - Street 1:6179 NE 17TH AVE UNIT A
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97211-4879
Practice Address - Country:US
Practice Address - Phone:503-679-6569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2011421177RN163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty