Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centennial Medical Group East, LLC

Organization Obstetrics & Gynecology Physician · NPI 1134243249

Centennial Medical Group East, LLC is an Obstetrics & Gynecology Physician in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1937 W Harvard Ave
Roseburg, OR 97471-2720
Phone: (541) 677-7200
Fax: (541) 229-3309
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X (OR)

Record details

NPI number1134243249
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Tyree — Coo · (541) 229-3332
NPI enumeratedMarch 16, 2007
Last updated in NPPESMay 1, 2020
Certification dateMay 1, 2020
Mailing address2570 Nw Edenbower Blvd, Roseburg, OR 97471-6214

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