Individual
DR. BLAKE VANCE ACOHIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1040 NW 22ND AVE, PORTLAND, OR 97210-3057
(503) 413-7022
Mailing address
1040 NW 22ND AVE, PORTLAND, OR 97210-3057
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD151654
OR
Other
Enumeration date
04/17/2009
Last updated
06/17/2013
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