Centennial Medical Group East, LLC
Centennial Medical Group East, LLC is an Emergency Medicine Physician in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2010.
- Licensed in
- OR
- In the registry since
- 2010
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2570 NW Edenbower BlvdRoseburg, OR 97471-6214
Phone: (541) 677-2494
Fax: (541) 677-2294
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 71216890 (OR) |
|---|---|
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence 71216890 (OR) |
| Physician Assistant | Taxonomy 363A00000X · Licence 71216890 (OR) |
Record details
| NPI number | 1134436637 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Centennial Medical Group, Inc |
| Authorized official | Kimberly Tyree — Coo · (541) 229-3332 |
| NPI enumerated | September 3, 2010 |
| Last updated in NPPES | July 1, 2025 |
| Certification date | July 1, 2025 |
| Mailing address | 2570 Nw Edenbower Blvd, Roseburg, OR 97471-6214 |
Other providers in Roseburg
-
Cep America LLC
2700 NW Stewart Pkwy, Roseburg, OR 97471-1281 · (541) 673-0611
-
Evergreen Family Medicine, PC
2570 NW Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 · (541) 229-3301
-
Peter D. Gowing, DO
2700 NW Stewart Pkwy, Roseburg, OR 97470-1281 · (541) 677-4313
-
R Michael Harding, MD
209 Cedar Tree Dr, Roseburg, OR 97471-9370 · (541) 430-3958