Individual provider · Type 1 NPI
Breeana K. Roche, PA
Surgical Physician Assistant · Tualatin, OR
NPI number
1104074855
Active
Practice location
19260 SW 65th Ave Ste 435
Tualatin, OR 97062
Mailing address
1498 SE Tech Center Pl Ste 240
Vancouver, WA 98683-5508
Other practice locations
- 1108 Ross Clark Cir, Dothan, AL 36301-3022 · (334) 793-8111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 153001 (OR) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
Other surgical physician assistant providers in Tualatin
- Won Bahng Hwee, PA-CSurgical Physician Assistant Tualatin, OR NPI 1083967020
- Mark Jeffery Irby, PA-CSurgical Physician Assistant Tualatin, OR NPI 1174967780
- Keleigh Marie Nersasian, PA-CSurgical Physician Assistant Tualatin, OR NPI 1215193057
- Kristin Kathleen Mauer, PA CSurgical Physician Assistant Tualatin, OR NPI 1568650828
About NPI 1104074855
Breeana K. Roche, PA's National Provider Identifier is 1104074855, issued on Sep 7, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tualatin, OR. The record was last updated on Nov 26, 2018.