Whalio Doctors

NPI 1114285376

Lynette Michelle Petibone

Practitioner Midwife Tigard, OR

Practice location

Address
14104 SW 121st Ave, Tigard, OR 97224-2818
Phone
(503) 443-6902

Registered specialties (3)

Midwife Primary
Other Service Providers Taxonomy 176B00000X Licence DEM-LD-10182635 (OR)
Doula
Nursing Service Related Providers Taxonomy 374J00000X Licence P301 (CA)
Midwife
Other Service Providers Taxonomy 176B00000X Licence MW60719565 (WA)

Registry record

NPI
1114285376
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Apr 2012
Record last updated
12 Apr 2017

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.