Evelyn Patricia Whitlock, MD, MPH

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

MD12818 Issued in OR

Practice address

3800 N Interstate Ave
Portland, OR 97227-1110

Phone

(503) 335-6787

NPI assigned

May 24, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1992065882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 SW 78TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N INTERSTATE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271110",
            "telephone_number": "503-335-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "EVELYN",
        "middle_name": "PATRICIA",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "OR",
            "license": "MD12818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miyka Whiting, M.S., CCC-SLP
• Britta Callesen Whitley, RN
• Jackie Whitley
• Lynn Carman Whitley, DMD
• Skyler Whitley, LCSW
• Sule L Whitlock
• Christina Whitlow, IBCLC
• David Linwood Whitlow III, DC
• Anastacia M. Whitman, DMD
• Brian Whitmer

• Public Health & General Preventive Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Public Health & General Preventive Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.