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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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