Individual
DR. EVAN WHISENANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13730 SW WEIR RD, BEAVERTON, OR 97008-8063
(503) 608-2405
Mailing address
13730 SW WEIR RD, BEAVERTON, OR 97008-8063
(503) 608-2405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11060
OR
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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