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MRS. LYNETTE MICHELLE PETIBONE NPI 1114285376


NPI Information

NPI: 1114285376
Provider Name: MRS. LYNETTE MICHELLE PETIBONE
Classification: Midwife - 176B00000X
Entity Type: Individual
Address:
14104 SW 121ST AVE
TIGARD, OR
ZIP 97224
Phone: (503) 443-6902
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MRS. Lynette Michelle Petibone is a midwife in Tigard, OR. The provider is a Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. MRS. Lynette Michelle Petibone NPI is 1114285376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14104 SW 121ST AVE
TIGARD, OR
ZIP 97224-818
Phone: (503) 443-6902

The enumeration date for this NPI number is 4/25/2012 and was last updated on 4/12/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1374J00000XDoulaP301CALIFORNIANo
2176B00000XMidwifeMW60719565WASHINGTONNo
3176B00000XMidwifeDEM-LD-10182635OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.