CENTENNIAL MEDICAL GROUP INC.

ROSEBURG, OR
NPI1518103274
Entity TypeOrganization
Authorized ContactDONNA RAYLENE VAN DIS
Credentialing Coordinator
541-677-4319
Organization Subpart ?Yes
Primary Taxonomy208600000X Surgery
Additional Taxonomies207RC0000X Internal Medicine, Cardiovascular Disease
207RG0100X Internal Medicine, Gastroenterology
207RP1001X Internal Medicine, Pulmonary Disease
207RS0012X Internal Medicine, Sleep Medicine
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
208800000X Urology
208M00000X Hospitalist
Enumeration Date2008-12-31
Last Update Date2019-11-25
Business Address
CENTENNIAL MEDICAL GROUP INC.
201 NW MEDICAL LOOP STE 190
ROSEBURG, OR 97471-8835
Phone number: 541-644-4319
Mailing Address
CENTENNIAL MEDICAL GROUP INC.
201 NW MEDICAL LOOP STE 190
ROSEBURG, OR 97471-8835
Phone number: 541-644-4319