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

Centennial Medical Group West, LLC

Organization Surgical Physician Assistant · NPI 1063710192

Centennial Medical Group West, LLC is a Surgical Physician Assistant 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.

See every abbreviation used in this directory →

Practice location Address checks out

2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone: (541) 677-2494
Fax: (541) 677-2294
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1063710192
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCentennial Medical Group, Inc
Authorized official Rahul Agarwal — President · (541) 677-2494
Other names Centennial Surgical Assistants
NPI enumeratedMarch 15, 2011
Last updated in NPPESMarch 15, 2011
Mailing address2801 Nw Mercy Dr Ste 340, Roseburg, OR 97471-2348

Other providers in Roseburg