Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114285376 Individual Practitioner Female Practitioner

Lynette Michelle Petibone

Midwife • Tigard, OR

Professional Overview & Biography Verified Profile Summary

Lynette Petibone is a registered healthcare professional specializing in Midwife in Tigard, OR. Practice services are available at 14104 SW 121ST AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14104 Sw 121st Ave

Tigard, OR 972242818

Telephone 5034436902

Specialty Benchmarks & Practice Insights

Comparative analytics for Midwife in Tigard, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Tigard, OR (208 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Midwife Primary Specialty

NUCC Taxonomy Code: 176B00000X

State License OR DEM-LD-10182635

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.

Doula

NUCC Taxonomy Code: 374J00000X

State License CA P301

Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period.

Midwife

NUCC Taxonomy Code: 176B00000X

State License WA MW60719565

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active April 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2017

Registered at 14104 SW 121ST AVE, TIGARD, OR 972242818 (Tel: 5034436902)

📍
Updated Business Mailing Address April 12, 2017

Registered at 14104 SW 121ST AVE, TIGARD, OR 972242818 (Tel: 5034436902)

👤
Provider Name / Credentials Updated April 12, 2017

Recorded as LYNETTE PETIBONE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2017

Midwife (License #MW60719565 in WA)

NPI Profile Active April 25, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2012

Registered at 4004 112TH ST SE, EVERETT, WA 982087769 (Tel: 4253573501)

📍
Updated Business Mailing Address April 25, 2012

Registered at 4004 112TH ST SE, EVERETT, WA 98208 (Tel: 4253573501)

👤
Provider Name / Credentials Updated April 25, 2012

Recorded as LYNETTE PETIBONE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2012

Doula (License #P301 in CA)

🟢
Initial NPI Registration & Enumeration April 25, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114285376
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2012
Last Update: April 12, 2017
Sole Proprietor: Yes

Mailing Address

14104 Sw 121st Ave

Tigard, OR 972242818

Phone: 5034436902

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.