MRS. LYNETTE MICHELLE PETIBONE
NPI 1114285376
Midwife in Tigard, OR

Active since April 25, 2012
14104 SW 121ST AVE, TIGARD, OR 97224(503) 443-6902 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Lynette Michelle Petibone NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LYNETTE MICHELLE PETIBONE (NPI 1114285376) is an individual midwife in Tigard, Oregon, licensed in Oregon (DEM-LD-10182635) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1114285376
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameMRS. LYNETTE MICHELLE PETIBONE
Location Address14104 SW 121ST AVETigard, OR 97224-2818
Mailing Address14104 Sw 121st AveTigard, OR 97224-2818 · (503) 443-6902
Sole ProprietorYes
Enumeration DateApril 25, 2012
Last NPPES UpdateApril 12, 2017
NPI 1114285376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
Licenses Licensed in OR · DEM-LD-10182635 Licensed in WA · MW60719565
Definition
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.
Also ListedDoulaTaxonomy 374J00000X · License P301 (CA)
14104 SW 121ST AVE, Tigard, OR 97224

Other Names 1

Other Name (5)Mrs. Lynette Michelle Pettibone Lm, Ldm, Cpm

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lynette Petibone's NPI number?

The NPI number for Lynette Petibone is 1114285376. It was assigned to this individual provider in the NPPES registry on April 25, 2012. The provider is also known as Mrs. Lynette Michelle Pettibone Lm, Ldm, Cpm.

Where is Lynette Petibone located?

Lynette Petibone practices at 14104 SW 121st Ave, Tigard, OR 97224. The listed phone number is (503) 443-6902.

What is Lynette Petibone's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

What insurance does Lynette Petibone accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Lynette Petibone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lynette Petibone was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.