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Contact Information

CENTENNIAL MEDICAL GROUP INC.
201 NW MEDICAL LOOP STE 190
ROSEBURG, OR97471-8835
 Phone: 541-644-4319
 Fax: 541-677-2294
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Hospitalist

208M00000X
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
 

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for CENTENNIAL MEDICAL GROUP INC · (Female)

NPI Number 1518103274
Status Active
Credentials
Entity Individual
Enumeration date 12/31/2008
Last updated 11/25/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR Medicaid 500601997
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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