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Individual

MR. YEDIDYA TABANPOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ACUPUNCTURIST

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
(347) 509-6520
(503) 673-2157

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
187725
OR

Other

Enumeration date
05/23/2018
Last updated
03/17/2026
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