Active NPI
Yedidya Tabanpour, ACUPUNCTURIST
- Acupuncturist
- Portland, OR
National Provider Identifier
1346731585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 187725
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 187725 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emanence Natural Medicine | Acupuncturist | Current | 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.