OrganizationEmanence Natural Medicine(<Unavail>)AcupuncturistOther Service ProvidersPractice Address407 NW 17th Ave Ste 5, Portland, OR 97209-2247(347) 509-6520(917) 678-3256PECOS EnrollmentBased on the most recent information from CMS, provider Emanence Natural Medicine does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 5:04 PM.Profile DetailsProvider ID1104524495Provider TypeOrganizationFull NameEmanence Natural MedicineOther Name<Unavail>SubpartNoEnumeration Date2/16/2023Last Updated9/9/2024Contact InformationPractice LocationPractice Address407 NW 17th Ave Ste 5, Portland, OR 97209-2247Phone(347) 509-6520Fax(503) 673-2157Mailing LocationMailing Address9118 SW Midea Ct, Portland, OR 97225-2500Phone(917) 678-3256Fax(503) 673-2157Authorized OfficialNameTabanpour, Yedidya (Owner/Acupuncturist)Phone(347) 509-6520Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseUnlisted Issuer