Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Evylon Aymea Rose Whitacre, MD

Individual provider Family Medicine Physician · NPI 1730356858

Dr. Evylon Aymea Rose Whitacre, MD is a General Practice in Portland, Oregon. Qualified in 2007, 19 years ago. Practices with Healthy Living Community, a 2-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
19
Licensed in
OR, WA
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3605 SE 26th Ave
Portland, OR 97202-2953
Phone: (971) 231-4536
Fax: (503) 376-3790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD215234 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD60106651 (WA)
General Practice Physician Taxonomy 208D00000X · Licence MD60106651 (WA)

Record details

NPI number1730356858
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2008
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Healthy Living Community — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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