OrganizationActive
Centennial Medical Group West, LLC
NPI 1063710192 · Surgical Physician Assistant · Roseburg, OR
Provider details
- NPI number
- 1063710192
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Centennial Medical Group, Inc.
- Organization subpart
- Yes
- Authorized official
- Rahul Agarwal, President(541) 677-2494
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2700 Nw Stewart Pkwy
Roseburg, OR 97471-1281
Phone: (541) 677-2494
Fax: (541) 677-2294
Approximate (ZIP-level) locationGet directions
Mailing address
2801 Nw Mercy Dr Ste 340
Roseburg, OR 97471-2348
Other names (DBA / former)
- Doing business as
- Centennial Surgical Assistants
Registry dates
- Enumerated
- 2011-03-15
- Last updated
- 2011-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.