Acohido, Blake Vance
Acohido, Blake Vance is an sole proprietor health care provider with primary practice located at 1040 Nw 22Nd Ave , Portland OR 97210-3057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Acohido, Blake Vance can be contacted via phone (503) 413-7022.Contact Information
Primary practice address
1040 Nw 22Nd Ave
Portland OR 97210-3057
Phone: (503) 413-7022
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD151654 | Oregon |
Profile Details
NPI number | 1518100734 |
---|---|
LBN Legal business name | Acohido, Blake Vance |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 17th, 2009 |
Last updated | Jun 17th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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