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

Centennial Medical Group West, LLC

Organization Ophthalmology Physician · NPI 1245547744

Centennial Medical Group West, LLC is an Ophthalmology Physician in Roseburg, Oregon. Registered with an NPI since 2010.

In the registry since
2010
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

2801 NW Mercy Dr Ste 340
Roseburg, OR 97471
Phone: (541) 677-4319
Fax: (541) 677-2294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X

Record details

NPI number1245547744
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Klebe — Officer · (541) 677-3650
NPI enumeratedSeptember 3, 2010
Last updated in NPPESMarch 7, 2017
Mailing address2801 Nw Mercy Dr., Ste. 340, Roseburg, OR 97471

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