Active NPI
Yntimate Li Ou LLC
- Health & Wellness Coach
- Portland, OR
National Provider Identifier
1457097479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- 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
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; PF
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Primary | ||
| Doula | 374J00000X | |||
| Nurse's Aide | 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 DirectoryLocations
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.
-
- Doula
- Portland, OR
- NPI 1750846994
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.