Organization Active NPI

Emanence Natural Medicine

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1104524495
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
EMANENCE NATURAL MEDICINE
Practice address
917 SW Oak St Ste 424
Portland, OR 97205-2807
Phone
(347) 509-6520
Fax
(503) 673-2157
NPI assigned
Feb 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Dr. Yedidya Tabanpour, LACNPI 1346731585
Title
Owner/Acupuncturist
Phone
(347) 509-6520

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

917 SW Oak St Ste 424
Portland, OR 97205-2807

Mailing address

9118 SW Midea CT
Portland, OR 97225-2500
Phone (917) 678-3256

Other names 1

  • Emanence Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

917 SW Oak St
Ste 424
Portland, OR 97205
Phone (347) 509-6520

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": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1104524495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9118 SW MIDEA CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252500",
            "telephone_number": "917-678-3256",
            "fax_number": "503-673-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 SW OAK ST STE 424",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052807",
            "telephone_number": "347-509-6520",
            "fax_number": "503-673-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMANENCE NATURAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "TABANPOUR",
        "authorized_official_first_name": "YEDIDYA",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "347-509-6520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emanence Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 17, 2026; 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.