# YNTIMATE LI OU LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457097479
- **Authorized official:** MS. JONA Y ALLEN CHWC; CD; NH; PF (OWNER)
- **Authorized official phone:** (503) 793-0977

## Contact information

- **Practice address:** 5311 SE POWELL BLVD STE 102, PORTLAND, OR 97206-2951
- **Practice address phone:** (503) 793-0977
- **Practice address fax:** (503) 961-1946
- **Mailing address:** 5311 SE POWELL BLVD STE 102, PORTLAND, OR 97206-2951
- **Mailing address phone:** (503) 793-0977
- **Mailing address fax:** (503) 961-1946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |
| 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