Individual provider · Type 1 NPI

Evylon Aymea Rose Whitacre, MD

Family Medicine Physician · Portland, OR

NPI number 1730356858 Active

Practice location

3605 SE 26th Ave
Portland, OR 97202-2953

Fax (503) 376-3790

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XMD215234 (OR)
Family Medicine Physician 207Q00000XMD60106651 (WA)
General Practice Physician 208D00000XMD60106651 (WA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1730356858

Evylon Aymea Rose Whitacre, MD's National Provider Identifier is 1730356858, issued on May 8, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Portland, OR. The record was last updated on Dec 29, 2025.