LYNETTE MICHELLE PETIBONE

TIGARD, OR
NPI1114285376
Other NameLYNETTE MICHELLE PETTIBONE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: OR  DEM-LD-10182635)
Additional Taxonomies374J00000X Doula
(Licence: CA  P301)
176B00000X Midwife
(Licence: WA  MW60719565)
Enumeration Date2012-04-25
Last Update Date2017-04-12
Business Address
Mrs. LYNETTE MICHELLE PETIBONE
14104 SW 121ST AVE
TIGARD, OR 97224-2818
Phone number: 503-443-6902
Mailing Address
Mrs. LYNETTE MICHELLE PETIBONE
14104 SW 121ST AVE
TIGARD, OR 97224-2818
Phone number: 503-443-6902
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