Whalio Doctors

NPI 1518103274

Centennial Medical Group INC.

Organisation Surgery Physician Roseburg, OR

Practice location

Address
201 NW Medical Loop STE 190, Roseburg, OR 97471-8835
Phone
(541) 644-4319
Fax
(541) 677-2294

Authorised official

Name
Donna Raylene van Dis
Title
Credentialing Coordinator
Phone
(541) 677-4319

Registered specialties (8)

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X
Cardiovascular Disease Physician
Allopathic & Osteopathic Physicians Taxonomy 207RC0000X
Gastroenterology Physician
Allopathic & Osteopathic Physicians Taxonomy 207RG0100X
Pulmonary Disease Physician
Allopathic & Osteopathic Physicians Taxonomy 207RP1001X
Sleep Medicine (Internal Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207RS0012X
Clinical Pathology/Laboratory Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207ZP0105X
Urology Physician
Allopathic & Osteopathic Physicians Taxonomy 208800000X
Hospitalist Physician
Allopathic & Osteopathic Physicians Taxonomy 208M00000X

Registry record

NPI
1518103274
Entity type
Organization
NPI issued
31 Dec 2008
Record last updated
25 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.