Individual
EDIBEN YOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10920 SW BARBUR BLVD, PORTLAND, OR 97219-8600
(503) 676-5482
Mailing address
10920 SW BARBUR BLVD, PORTLAND, OR 97219-8600
(503) 676-5482
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-23-2366
OR
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/15/2023
Last updated
09/18/2023
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