Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Lynette Michelle Petibone

Individual provider Doula · NPI 1114285376

Mrs. Lynette Michelle Petibone is a Doula in Tigard, Oregon. Practices as a sole proprietor. Licensed in California, Oregon and Washington.

Licensed in
CA, OR, WA
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

14104 SW 121st Ave
Tigard, OR 97224-2818
Phone: (503) 443-6902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Midwife (primary) Taxonomy 176B00000X · Licence DEM-LD-10182635 (OR)
Doula Taxonomy 374J00000X · Licence P301 (CA)
Midwife Taxonomy 176B00000X · Licence MW60719565 (WA)

Record details

NPI number1114285376
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 25, 2012
Last updated in NPPESApril 12, 2017
Mailing address14104 Sw 121st Ave, Tigard, OR 97224-2818

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