THE BRIDGE BIRTH CENTER
NPI 1962157628
Clinic/Center - Birthing in Vancouver, WA

Active since February 21, 2022CLIA 50D2254866 · Waiver
3300 NE 54TH ST, VANCOUVER, WA 98663(206) 552-0061(844) 822-7441 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About The Bridge Birth Center NPPES

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

THE BRIDGE BIRTH CENTER (NPI 1962157628) is a healthcare organization registered as a birthing in Vancouver, Washington and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Lynette Michelle Petibone, Member/manager/clinician, as its authorized official.

NPPES Registry Identity

NPI1962157628
Entity TypeOrganization
Primary Taxonomy261QB0400X
Legal Business NameTHE BRIDGE BIRTH CENTER
Location Address3300 NE 54TH STVancouver, WA 98663-1953
Mailing Address7720 Ne Highway 99 # D441Vancouver, WA 98665-8858 · (206) 552-0061 · Fax (844) 822-7441
Fax(844) 822-7441
Organization SubpartNo
Authorized OfficialLynette Michelle PetiboneMember/manager/clinician · (503) 443-6902
Enumeration DateFebruary 21, 2022
NPPES CertifiedFebruary 21, 2022
NPI 1962157628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · BirthingAmbulatory Health Care Facilities
Taxonomy Code261QB0400X
Definition
A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns.
3300 NE 54TH ST, Vancouver, WA 98663

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2254866

The Bridge Birth Center · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2254866
Laboratory TypeBirth Center
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorLynette Pettibone
Laboratory Phone(360) 693-6875
Laboratory LocationThe Bridge Birth Center3300 NE 54th St, Vancouver, WA 98663
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Midwife
3300 NE 54TH ST
VANCOUVER, WA 98663
Midwife
3300 NE 54TH ST
VANCOUVER, WA 98663

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 The Bridge Birth Center's NPI number?

The NPI number for The Bridge Birth Center is 1962157628. It was assigned to this organization in the NPPES registry on February 21, 2022.

Where is The Bridge Birth Center located?

The Bridge Birth Center is located at 3300 NE 54th St, Vancouver, WA 98663. The listed phone number is (206) 552-0061.

What is The Bridge Birth Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Birthing, with taxonomy code 261QB0400X.

Does The Bridge Birth Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2254866) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Bridge Birth Center was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.