Centennial Medical Group East, LLC
Centennial Medical Group East, LLC is a Rural Health Clinic/Center in Roseburg, Oregon. Registered with an NPI since 2011.
- In the registry since
- 2011
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) 677-7200
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
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X |
|---|
Record details
| NPI number | 1821366071 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Centennial Medical Group, Inc |
| Authorized official | Jason Gray — President · (541) 677-2494 |
| Other names | Evergreen Family Medicine |
| NPI enumerated | December 2, 2011 |
| Last updated in NPPES | February 6, 2013 |
| Mailing address | 2570 Nw Edenbower Blvd, Roseburg, OR 97471-6214 |
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