NPI 1922301696

Centennial Medical Group North, LLC

Organisation Orthopaedic Surgery Physician Roseburg, OR

Practice location

Address: 277 NW Medical Loop, Roseburg, OR 97471-1644
Phone: (541) 677-2131
Fax: (541) 677-2136
Mailing address: 2801 NW Mercy Dr Suite 340, Roseburg, OR 97471-2348

Authorised official

Name: Rahul Agarwal
Title: President
Phone: (541) 677-2494

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X

Other Orthopaedic Surgery providers in Oregon →

Registry record

NPI: 1922301696
Entity type: Organization
NPI issued: 17 Dec 2010
Record last updated: 17 Dec 2010

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.