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Organization

LYNETTE M PETTIBONE, LDM, LLC

Active
Other names
The Bridge Birth and Family Services
Organization subpart
No

Provider details

NPI number
Authorized official
LYNETTE MICHELLE PETIBONE LM, CPM (MEMBER/MANAGER/DIRECTOR)
(503) 443-6902
Entity
Organization

Contact information

Practice address
3300 NE 54TH ST, VANCOUVER, WA 98663-1953
(206) 552-0061
(844) 822-7441
Mailing address
7720 NE HIGHWAY 99 # D441, VANCOUVER, WA 98665-8858
(206) 552-0061
(844) 822-7441

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary

Other

Enumeration date
02/21/2022
Last updated
02/21/2022
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