Individual
EVELYN PATRICIA WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
3800 N INTERSTATE AVE, PORTLAND, OR 97227-1110
(503) 335-6787
Mailing address
3255 SW 78TH AVE, PORTLAND, OR 97225-3007
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MD12818
OR
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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