Graduated: 2014
NPI: 1164093233
Practice Locations (3)
EVERGREEN FAMILY MEDICINE PC
2570 NW EDENBOWER BLVD
Roseburg, OR 974716214
CENTENNIAL MEDICAL GROUP EAST LLC
1937 W HARVARD AVE
ROSEBURG, OR 974712720
5416777200
EVERGREEN FAMILY MEDICINE PC
2570 NW EDENBOWER BLVD, SUITE 100
ROSEBURG, OR 974716214
5416777200
Source: CMS National Downloadable File, September 2026.