Lynette Petibone

Public-record details

Address

14104 Sw 121st Ave, Tigard, OR 97224

Phone

(503) 443-6902

Listed under

Midwives (all registered)

Listing type

Midwife (individual NPI)

NPI

1114285376

NPI status

Active in the NPPES registry

Registered specialty (self-reported taxonomy)

Midwife (176B00000X)

License number on NPI record

DEM-LD-10182635 (OR)

NPI first issued

Apr 25, 2012

License state on NPI record

OR

Years since NPI first issued

14 years (since 2012)

NPI record last updated

Apr 12, 2017

Birth center, midwife and doula listings at this street address

1 (only this one)

NPI 1114285376 is active in the federal NPPES registry (CMS) with Midwife (176B00000X) as its self-reported primary taxonomy; license DEM-LD-10182635 (OR) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Midwife & Birth Center Index does not vet, employ, recommend or guarantee birth centers, midwifery practices and doula organizations; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Midwife & Birth Center Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Midwives are licensed or regulated by the state, and the rules for certified professional midwives (CPM) and licensed midwives differ from state to state. Confirm the license with the state board before you sign a care agreement.

View NPI 1114285376 in the official registry ↗