Organization · Type 2 NPI

Centennial Medical Group East, LLC

Rural Health Clinic/Center · Roseburg, OR

NPI number 1821366071 Active

Practice location

2570 NW Edenbower Blvd
Roseburg, OR 97471-6214

Call (541) 677-7200 Map

Fax (541) 229-3309

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300XNone listed

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

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About NPI 1821366071

Centennial Medical Group East, LLC's National Provider Identifier is 1821366071, issued on Dec 2, 2011. 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 Feb 6, 2013.