OrganizationActive
Centennial Medical Group West, LLC
NPI 1245547744 · Ophthalmology Physician · Roseburg, OR
Provider details
- NPI number
- 1245547744
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Douglas Klebe, Officer
Practice location
2801 Nw Mercy Dr.
Ste. 340
Roseburg, OR 97471
Phone: (541) 677-4319
Fax: (541) 677-2294
Mailing address
2801 Nw Mercy Dr.
Roseburg, OR 97471
Registry dates
- Enumerated
- 2010-09-03
- Last updated
- 2017-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.