Yevgeniy Eysmont, ND, LMT

Primary specialty

NaturopathTaxonomy code 175F00000X

License

4306 Issued in OR

Practice address

11667 NE Glisan St
Portland, OR 97220-2264

Phone

(971) 420-2102

NPI assigned

Nov 5, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• D'Vida Injury Clinic & Wellness Center LLC

  • Chiropractor
  • Beaverton, OR
  • NPI 1861754517
  NPD (past)
• First in Health, Inc

  • Naturopath
  • Portland, OR
  • NPI 1629513494
  NPD (past)

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1124662887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11667 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202264",
            "telephone_number": "971-420-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11667 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202264",
            "telephone_number": "971-420-2102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6645 NE 78th Ct Ste C10",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972182827",
            "country_code": "US",
            "telephone_number": "503-978-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3835 SW 185th Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Aloha",
            "state": "OR",
            "postal_code": "970781553",
            "country_code": "US",
            "telephone_number": "503-626-2166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EYSMONT",
        "first_name": "YEVGENIY",
        "credential": "ND, LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-05",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "23604",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pdxaesthetic.com",
            "affiliation": "Y",
            "endpointDescription": "Main website",
            "affiliationName": "Aesthetic Medical Center",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Main website",
            "address_1": "11667 NE Glisan St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972202264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dvidaclinic.net",
            "affiliation": "N",
            "address_1": "3835 SW 185th Ave Ste 400",
            "city": "Aloha",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970781553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelsi J Eyestone, LCSW
• Eyestrong, LLC
• Eyestyles LLC
• Calan David Eyler, PHARMD
• Eyobpdx Transportation LLC
• Ryan Grey Eytalis-Mains, MAT, LAT, ATC
• Ezana Medical Transportation LLC
• Elizabeth Ezell
• Nadeen Ezzeddine
• Jocelyn Fabbri, PT

• Naturopath in Portland, OR
• Providers in Portland, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.