Organization · Type 2 NPI

Centennial Medical Group East, LLC

Rural Health Clinic/Center · Roseburg, OR

NPI number 1235688805 Active

Practice location

1937 W Harvard Ave
Roseburg, OR 97471-2720

Fax (541) 229-3309

Mailing address

2570 NW Edenbower Blvd Ste 100
Roseburg, OR 97471-6214

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XMD12182 (OR)
Rural Health Clinic/Center Primary 261QR1300X38-3896 (OR)

Rural Health Clinic/Center: Definition to come...

32 other providers at this address

Other rural health clinic/center providers in Roseburg

See all in Roseburg →

About NPI 1235688805

Centennial Medical Group East, LLC's National Provider Identifier is 1235688805, issued on Sep 23, 2016. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Roseburg, OR. The record was last updated on May 1, 2020.