MRS. LYNETTE MICHELLE PETIBONE – Midwife, NPI 1114285376

MRS. LYNETTE MICHELLE PETIBONE is a healthcare provider. based in Tigard, Oregon. specializing in Midwife. They hold a License No. P301 (CA). The NPI Number for MRS. LYNETTE MICHELLE PETIBONE is 1114285376

Main info

Female
Sole Proprietor
Name
MRS. LYNETTE MICHELLE PETIBONE
NPI
1114285376
Phone
(503) 443-6902
Address
14104 SW 121ST AVE
Enumeration Date
25 April 2012
Last Update Date
12 April 2017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:14State licenses:3Digital endpointsOther names

Provider Addresses for MRS. LYNETTE MICHELLE PETIBONE

  • 14104 SW 121ST AVE

    TIGARD, OR 972242818

    Phone: (503) 443-6902

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97224)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. LYNETTE MICHELLE PETIBONE?
MRS. LYNETTE MICHELLE PETIBONE — NPI 1114285376 — is the standard way to identify this listing.
Does CMS list MRS. LYNETTE MICHELLE PETIBONE as active?
Yes — MRS. LYNETTE MICHELLE PETIBONE is active in the NPI listing used on this page.
What healthcare role does MRS. LYNETTE MICHELLE PETIBONE hold?
Scheduling teams often label MRS. LYNETTE MICHELLE PETIBONE under Midwife. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. LYNETTE MICHELLE PETIBONE?
MRS. LYNETTE MICHELLE PETIBONE's geographic hint is Tigard, Oregon in our summary view.
Is the information about MRS. LYNETTE MICHELLE PETIBONE up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."