Individual
DR. EVYLON AYMEA ROSE WHITACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3605 SE 26TH AVE, PORTLAND, OR 97202-2953
(971) 231-4536
(503) 376-3790
Mailing address
3605 SE 26TH AVE, PORTLAND, OR 97202-2953
(971) 231-4536
(503) 376-3790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD215234
OR
207Q00000X
Family Medicine Physician
MD60106651
WA
208D00000X
General Practice Physician
MD60106651
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD60106651
MEDICAL LICENSE
WA
Enumeration date
05/08/2008
Last updated
12/29/2025
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