MRS. Lynette Michelle Petibone

NPI #1114285376 in Tigard, Oregon

Provider Information

NPI Number: 1114285376
Entity Type: Individual
Name: MRS. Lynette Michelle Petibone
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Midwife
Enumeration Date: Apr 25, 2012
Last Updated: Apr 12, 2017

Practice Location

Address: 14104 SW 121ST AVE
City: Tigard
State: Oregon
ZIP Code: 97224-2818
Phone: (503) 443-6902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Doula	374J00000X
Midwife	176B00000X	Primary

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