Individual provider Active NPI

Yedidya Tabanpour, ACUPUNCTURIST

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1346731585
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
187725 Issued in OR
Practice address
917 SW Oak St Ste 424
Portland, OR 97205-2807
Phone
(347) 509-6520
Fax
(503) 673-2157
NPI assigned
May 23, 2018
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 187725 OR 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 (347) 509-6520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
187725ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Emanence Natural Medicine Acupuncturist CurrentSince Feb 19, 2023 Accepting new patients

Locations

407 NW 17th Ave
Ste 5
Portland, OR 97209
Phone (503) 577-3669

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

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1346731585",
    "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": "347-509-6520",
            "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": {
        "last_name": "TABANPOUR",
        "first_name": "YEDIDYA",
        "name_prefix": "Mr.",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-23",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "187725",
            "primary": true
        }
    ],
    "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 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.