Centennial Medical Group East, LLC
Centennial Medical Group East, LLC provides Family Medicine Physician services in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2016.
- Licensed in
- OR
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1937 W Harvard AveRoseburg, OR 97471-2720
Phone: (541) 677-7200
Fax: (541) 229-3309
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X · Licence 38-3896 (OR) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence MD12182 (OR) |
Record details
| NPI number | 1235688805 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kim Tyree — Coo · (541) 229-3332 |
| NPI enumerated | September 23, 2016 |
| Last updated in NPPES | May 1, 2020 |
| Certification date | May 1, 2020 |
| Mailing address | 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 |
Other providers in Roseburg
-
Dr. Brandon W Bonds, MD
2570 NW Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 · (541) 677-7200
-
Steven Craig Brantley, DO
150 NE Kenneth Ford Dr, Roseburg, OR 97470-1042 · (672) 959-6541
-
Dr. Jonathan Everett Burden, MD
2570 NW Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 · (541) 677-7350
-
Samia Rauf Butt, MD
150 NE Kenneth Ford Dr, Roseburg, OR 97470-1042 · (541) 672-9596
-
Laurance Walter Choate, MD
1813 W Harvard Ave Ste 201, Roseburg, OR 97471-2754 · (541) 440-6390
-
Christine M. Seals, MD, PC
1813 W Harvard Ave Ste 434, Roseburg, OR 97471-8705 · (541) 957-0111
-
Peter Clemens, DO
3031 NE Stephens St, Roseburg, OR 97470 · (541) 229-7038
-
MS. Anna Crumrine, PA-C
1813 W Harvard Ave Ste 140, Roseburg, OR 97471-2743 · (541) 677-6553