OrganizationActive
Centennial Medical Group East, LLC
NPI 1821366071 · Rural Health Clinic/Center · Roseburg, OR
Provider details
- NPI number
- 1821366071
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Centennial Medical Group, Inc.
- Authorized official
- Jason Gray, President
Practice location
2570 Nw Edenbower Blvd
Roseburg, OR 97471-6214
Phone: (541) 677-7200
Fax: (541) 229-3309
Mailing address
2570 Nw Edenbower Blvd
Roseburg, OR 97471-6214
Registry dates
- Enumerated
- 2011-12-02
- Last updated
- 2013-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.