IndividualActive
Breeana Roche, PA
NPI 1104074855 · Surgical Physician Assistant · Tualatin, OR
Provider details
- NPI number
- 1104074855
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 153001 (OR)
Mailing address
1498 Se Tech Center Pl Ste 240
Vancouver, WA 98683-5508
Registry dates
- Enumerated
- 2008-09-07
- Last updated
- 2018-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.