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Lynette Michelle Petibone

Midwife β€’ Tigard, OR

Active NPI 1114285376 Individual Practitioner Female Practitioner
Practice location in NPPES

14104 Sw 121st Ave
Tigard, OR 972242818

Call 5034436902 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

14104 Sw 121st Ave

Tigard, OR 972242818

Telephone 5034436902

Industry payments (Open Payments)

Fewer than 11 payment records totaling $99.52 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Tigard and Oregon

3 active clinicians are listed under Midwife with a practice address in Tigard, OR (205 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $99.52.

Manufacturer Payment Nature Product Type Amount ($)
HOLOGIC INC
Food and Beverage
In-kind items and services
APTIMA General $99.52

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Midwife Primary Specialty

NUCC Taxonomy Code: 176B00000X

License # reported to NPPES 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

License # reported to NPPES 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

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active April 12, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location April 12, 2017

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

πŸ“
Updated Business Mailing Address April 12, 2017

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

πŸ‘€
Provider Name / Credentials Updated April 12, 2017

Recorded as LYNETTE PETIBONE

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

Midwife (license number reported to NPPES: WA MW60719565)

βœ…
NPI Profile Active April 25, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 25, 2012

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

πŸ“
Business Mailing Address (Initial Record) April 25, 2012

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

πŸ‘€
Provider Name / Credentials (Initial Record) April 25, 2012

Recorded as LYNETTE PETIBONE

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

Doula (license number reported to NPPES: CA P301)

🟒
Initial NPI Registration & Enumeration April 25, 2012

First registered as active Individual Practitioner in NPPES Database.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.