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

Centennial Medical Group West, LLC

Organization Surgical Physician Assistant · NPI 1063710192

Centennial Medical Group West, LLC provides Surgical Physician Assistant services in Roseburg, Oregon. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2700 NW Stewart Pkwy
Roseburg, OR 97471-1281 Not confirmed with CMS for 15 years — call before visiting
Phone: (541) 677-2494
Fax: (541) 677-2294
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1063710192
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCentennial Medical Group, Inc
Authorized official Rahul Agarwal — President · (541) 677-2494
Other names Centennial Surgical Assistants
NPI enumeratedMarch 15, 2011
Last updated in NPPESMarch 15, 2011
Mailing address2801 Nw Mercy Dr Ste 340, Roseburg, OR 97471-2348

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