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Organization
YNTIMATE LI OU LLC
Active
Organization
YNTIMATE LI OU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JONA Y ALLEN CHWC; CD; NH; PF (OWNER)
(503) 793-0977
Entity
Organization
Contact information
Practice address
5311 SE POWELL BLVD STE 102, PORTLAND, OR 97206-2951
(503) 793-0977
(503) 961-1946
Mailing address
5311 SE POWELL BLVD STE 102, PORTLAND, OR 97206-2951
(503) 793-0977
(503) 961-1946
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
NULL
171400000X
Health & Wellness Coach
Primary
—
—
374J00000X
Doula
—
NULL
374J00000X
Doula
—
—
376K00000X
Nurse's Aide
—
NULL
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
05/11/2022
Last updated
09/20/2024
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