Dr. Blake Vance Acohido, M.D.
Ophthalmology in Portland, OR. Individual provider (NPI-1).
NPI number1518100734
StatusActive
Last updated in NPPESJun 17, 2013
Details
- NPI
- 1518100734
- Entity type
- Individual (NPI-1)
- Name
- Dr. Blake Vance Acohido
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2009
- Last updated
- Jun 17, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | MD151654 | OR | Yes |
Practice location
1040 Nw 22nd AvePortland, OR 97210-3057
Phone 503-413-7022
Mailing address
1040 Nw 22nd AvePortland, OR 97210-3057
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