Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LYNETTE MICHELLE PETIBONE
Active Sole ProprietorMRS. LYNETTE MICHELLE PETIBONE is a Midwife healthcare provider located in TIGARD, Oregon. NPI 1114285376 is currently active in the NPPES registry. Verify at CMS.
Midwife · TIGARD, OR
Registration Details
- NPI Number
- 1114285376
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2012 (14.118415968023 yrs)
- Last Updated
- Apr 12, 2017
- Licenses
-
P301 (CA)DEM-LD-10182635 (OR)MW60719565 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14104 SW 121ST AVETIGARD, OR, 972242818Browse OR providers · Browse ZIP 97224
- Phone
- 5034436902
- Primary Specialty
-
Midwife
176B00000X
- Additional Specialty
- Midwife
- Additional Specialty
- Midwife
Other Midwife Providers in TIGARD, OR
| Name | Credential | NPI |
|---|---|---|
| SARAH HUSAIN | — | 1982077897 |
| BROOKE LYNN FRANCIS | — | 1356807275 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.