Lookup NPI Numbers from the NPI Registry
NPI Profile for BREEANA K ROCHE in TUALATIN, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI # | 1104074855 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 09/07/2008 | |
| Last updated | 11/26/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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BREEANA K ROCHE
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BREEANA K ROCHE, PA