EDIBEN YOONAN NPI 1013615467

NPI Information

  • NPI: 1013615467
  • Provider Name: EDIBEN YOONAN
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 10920 SW BARBUR BLVD
    PORTLAND, OR
    ZIP 97219
  • Phone: (503) 676-5482

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NPI Details

Ediben Yoonan is an addiction (substance use disorder) counselor in Portland, OR. Ediben Yoonan NPI is 1013615467. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10920 SW BARBUR BLVD
PORTLAND, OR
ZIP 97219-600
Phone: (503) 676-5482

The enumeration date for this NPI number is 2/15/2023 and was last updated on 9/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2101YA0400XCounselorAddiction (Substance Use Disorder)T-23-2366OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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