Organization
EMANENCE NATURAL MEDICINE
Active
Other names
Emanence Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YEDIDYA TABANPOUR LAC (OWNER/ACUPUNCTURIST)
(347) 509-6520
Entity
Organization
Contact information
Practice address
917 SW OAK ST STE 424, PORTLAND, OR 97205-2807
(347) 509-6520
(503) 673-2157
Mailing address
9118 SW MIDEA CT, PORTLAND, OR 97225-2500
(917) 678-3256
(503) 673-2157
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
03/17/2026
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