Centennial Medical Group East, LLC
Centennial Medical Group East, LLC is a Family Medicine Physician in Sutherlin, Oregon. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
249 Dakota StSutherlin, OR 97479-9908
Phone: (541) 677-7200
Fax: (541) 229-3309
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 |
|---|
Record details
| NPI number | 1164124111 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Centennial Medical Group East, LLC |
| Authorized official | Kimberly Tyree — Chief Operating Officer · (541) 229-3332 |
| Other names | Evergreen Family Medicine North |
| NPI enumerated | March 21, 2023 |
| Last updated in NPPES | March 21, 2023 |
| Certification date | March 21, 2023 |
| Mailing address | 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 |
Other providers in Sutherlin
-
Fred Luke Herscher
781 W Central Ave, Sutherlin, OR 97479-9472 · (541) 459-0303
-
Fred Luke Herscher, DO
781 W Central Ave, Sutherlin, OR 97479-9472 · (541) 459-0303
-
Mrs. Deborah Ann Koopman, DNP, FNP
775 Taylor St, Sutherlin, OR 97479 · (541) 492-2087
-
Heidi Y. Lee, MD
249 Dakota St, Sutherlin, OR 97479-9908 · (541) 677-7200