Organization · Type 2 NPI

Centennial Medical Group East, LLC

Family Medicine Physician · Roseburg, OR

NPI number 1134436637 Active

Practice location

2570 NW Edenbower Blvd
Roseburg, OR 97471-6214

Fax (541) 677-2294

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X71216890 (OR)
Family Medicine Physician Primary 207Q00000X71216890 (OR)
Physician Assistant 363A00000X71216890 (OR)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1134436637

Centennial Medical Group East, LLC's National Provider Identifier is 1134436637, issued on Sep 3, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Roseburg, OR. The record was last updated on Jul 1, 2025.