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CENTENNIAL MEDICAL GROUP WEST, LLC

Organization (NPI-2) Active

Physician Assistant, Surgical

Provider Information

NPI Number
1063710192
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
2700 NW STEWART PKWY, ROSEBURG, OR, 974711281
Phone
(541) 677-2494
Fax
(541) 677-2294

Specialties & Taxonomies

Physician Assistant, Surgical Primary

All Addresses

MAILING

2801 NW MERCY DR STE 340

ROSEBURG, OR, 974712348

(541) 677-2494

LOCATION

2700 NW STEWART PKWY

ROSEBURG, OR, 974711281

(541) 677-2494