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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CENTENNIAL MEDICAL GROUP EAST, LLC

Active Organization

CENTENNIAL MEDICAL GROUP EAST, LLC is a Family Medicine organization located in ROSEBURG, Oregon. NPI 1134436637 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ROSEBURG, OR

Registration Details

NPI Number
1134436637
Provider Type
Organization
NPI Issued
Sep 3, 2010 (15.931452748409 yrs)
Last Updated
Jul 1, 2025
Licenses
71216890 (OR)
71216890 (OR)
71216890 (OR)

Practice Information

Address
2570 NW EDENBOWER BLVD
ROSEBURG, OR, 974716214
Browse OR providers · Browse ZIP 97471
Phone
5416772494
Fax
5416772294
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Physician Assistant
Additional Specialty
Family Medicine

Other Family Medicine Organizations in ROSEBURG, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.