Organization
THE BRIDGE BIRTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE MICHELLE PETIBONE LM (MEMBER/MANAGER/CLINICIAN)
(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
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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