Organization Active NPI

Yntimate Li Ou LLC

  • Health & Wellness Coach
  • Portland, OR
National Provider Identifier
1457097479
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
YNTIMATE LI OU LLC
Practice address
5311 SE Powell Blvd Ste 102
Portland, OR 97206-2951
Phone
(503) 793-0977
Fax
(503) 961-1946
NPI assigned
May 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jona Y Allen, CHWC; CD; NH; PFNPI 1750846994
Title
Owner
Phone
(503) 793-0977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 374J00000X
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X

Addresses

Primary practice location

5311 SE Powell Blvd Ste 102
Portland, OR 97206-2951

Mailing address

5311 SE Powell Blvd Ste 102
Portland, OR 97206-2951
Phone (503) 793-0977

National Provider Directory

National Provider Directory

Locations

5311 SE Powell Blvd
Ste 102
Portland, OR 97206
Phone (503) 793-0977

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1457097479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 SE POWELL BLVD STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062951",
            "telephone_number": "503-793-0977",
            "fax_number": "503-961-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 SE POWELL BLVD STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062951",
            "telephone_number": "503-793-0977",
            "fax_number": "503-961-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YNTIMATE LI OU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JONA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-793-0977",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CHWC; CD; NH; PF"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.