EVELYN PATRICIA WHITLOCK (NPI# 1992065882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992065882 |
| Entity Type | Individual |
| Full Name | EVELYN PATRICIA WHITLOCK |
| Credential | MD, MPH |
| Practice Address |
3800 N Interstate Ave Portland OR 97227-1110 |
| Mailing Address |
3255 Sw 78th Ave Portland OR 97225-3007 |
| Practice Telephone | 5033356787 |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
MD12818 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
3800 N INTERSTATE AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326104829 | Stephen Paul Fortmann | Internal Medicine | 3800 N Interstate Ave, Portland, OR 97227-1098 | 2006-12-29 |
| 1942795539 | Teresa Anne Hillier Graham | Internal Medicine | 3800 N Interstate Ave, Portland, OR 97227-1110 | 2018-06-26 |
| 1083968994 | Lynn Larson Debar | Psychologist | 3800 N Interstate Ave, Portland, OR 97227-1110 | 2012-10-30 |
| 1275781031 | Kaiser Foundation Hospitals | Clinic/Center | 3800 N Interstate Ave, Center for Health Research, Portland, OR 97227-1110 | 2008-09-05 |
| 1639349665 | Nancy A Siegel | Physician Assistant | 3800 N Interstate Ave, Portland, OR 97227-1110 | 2008-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689020968 | James Anthony Gaudino Jr. | Preventive Medicine | 9061 Sw 38th Ave, Portland, OR 97219-5382 | 2016-05-05 |
| 1467833012 | Beth Hirschfield | Preventive Medicine | 3916 Sw Nevada Ct, Portland, OR 97219-1514 | 2015-06-09 |
| 1568664829 | Andrea Girman | Preventive Medicine | 1905 Ne Wygant St, Portland, OR 97211-5865 | 2007-05-31 |
| 1215153234 | Geoffrey Enochs Beasley | Preventive Medicine | 3181 Sw Sw Sam Jackson Park Rd., Portland, OR 97219 | 2007-04-18 |
| 1770707606 | Alan Norton Weiner | Preventive Medicine | 4 Milk St, Portland, ME 04101-4164 | 2007-04-12 |
| 1689713539 | Jay David Kravitz | Preventive Medicine | 14323 Nw Skyline Blvd, Portland, OR 97231-2403 | 2007-02-06 |
| 1245871110 | Passport Health Holdings, LLC | Preventive Medicine | 22 Monument Square, Suite 507, Portland, ME 04101-4031 | 2019-10-02 |
| 1740607985 | Bernadette Zakher | Preventive Medicine | 3181 Sw Sam Jackson Park Rd, Ohsu, Portland, OR 97239-3011 | 2014-03-26 |
| 1407287147 | Healthcare Naturally | Preventive Medicine | 3719 N Williams Ave, Portland, OR 97227-1440 | 2013-12-05 |
| 1518233766 | Thomas Lucien Jeanne | Preventive Medicine | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2303 | 2012-03-31 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.