Petibone, Lynette Michelle

Petibone, Lynette Michelle is an sole proprietor health care provider with primary practice located at 14104 Sw 121St Ave , Tigard OR 97224-2818. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Doula, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Petibone, Lynette Michelle can be contacted via phone (503) 443-6902.

Contact Information

Primary practice address
14104 Sw 121St Ave Tigard OR 97224-2818
Phone: (503) 443-6902
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Doula 374J00000X P301 California
Other Service Providers / Midwife 176B00000X DEM-LD-10182635 Oregon
Other Service Providers / Midwife 176B00000X MW60719565 Washington

Profile Details

NPI number 1114285376
LBN Legal business name Petibone, Lynette Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2012
Last updated Apr 12th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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