Lynette Petibone
NPI 1114285376 · on the registry since 2012 · sole proprietor
Practice
- Address
- 14104 Sw 121st Ave
Tigard, OR 97224 - Phone
- (503) 443-6902
Registry record
- Primary taxonomy
- Midwife
176B00000X
- Also registered as
- Doula
Midwife - Licence states on file
- CA, OR, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-04-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon