Lynette Michelle Petibone
Midwife · Tigard, OR
Practice location
14104 SW 121st AveTigard, OR 97224-2818
- Phone
- (503) 443-6902
NPI record
- NPI
- 1114285376
- Entity type
- Individual (Type 1)
- Enumeration date
- April 25, 2012
- Last updated
- April 12, 2017
- Sole proprietor
- Yes
Specialties & taxonomy codes
About Lynette Petibone
Lynette Michelle Petibone is a healthcare provider registered in the NPI registry with the primary taxonomy Midwife (code 176B00000X). The practice location is 14104 SW 121st Ave, Tigard, OR 97224-2818. The NPI number 1114285376 was assigned on April 25, 2012 and the record was last updated on April 12, 2017.
Lynette Petibone lists 3 licenses in the registry: #DEM-LD-10182635 (OR) for Midwife; #P301 (CA) for Doula; #MW60719565 (WA) for Midwife. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Lynette Michelle Petibone?
The NPI number is 1114285376.
What is the phone number of Lynette Petibone?
The phone number listed for the practice location is (503) 443-6902.
Where is Lynette Petibone located?
14104 SW 121st Ave, Tigard, OR 97224-2818.
What is the taxonomy code for Lynette Petibone?
The primary taxonomy code is 176B00000X – Midwife; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Midwife providers in Tigard
- Brooke Lynn Francis15875 SW 72ND Ave
- Milk and Honey Birth Services LLC15875 SW 72ND Ave