NPI 1497400162

Lynette M Pettibone, Ldm, LLC

Organisation Midwife Vancouver, WA

Practice location

Address: 3300 NE 54th St, Vancouver, WA 98663-1953
Phone: (206) 552-0061
Fax: (844) 822-7441
Mailing address: 7720 NE Highway 99 # D441, Vancouver, WA 98665-8858

Authorised official

Name: Lynette Michelle Petibone
Title: Member/Manager/Director
Phone: (503) 443-6902

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X

Other Midwife providers in Washington →

Registry record

NPI: 1497400162
Entity type: Organization
NPI issued: 21 Feb 2022
Record last updated: 21 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.